- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.55 / $60.83 / $183.56
| Facility | | $17.55 | $60.83 | $183.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.40 / $17.57 / $123.52
| Professional | | $13.40 | $17.57 | $123.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.82 / $11.82 / $11.82
| Professional | | $11.82 | $11.82 | $11.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.99 / $128.55 / $8,639.91
| Facility | | $98.99 | $128.55 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.37 / $15.37 / $15.37
| Professional | | $15.37 | $15.37 | $15.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.94 / $26.24 / $65.20
| Facility | | $12.94 | $26.24 | $65.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.27 / $22.72 / $34.27
| Professional | | $12.27 | $22.72 | $34.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $11.62 / $26.67
| Professional | | $5.25 | $11.62 | $26.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.77 / $62.12 / $102.50
| Facility | | $34.77 | $62.12 | $102.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.82 / $11.82 / $19.00
| Professional | | $11.82 | $11.82 | $19.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.75 / $57.27 / $115.55
| Facility | | $16.75 | $57.27 | $115.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.18 / $17.79 / $123.52
| Professional | | $14.18 | $17.79 | $123.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.19 / $29.82 / $65.20
| Facility | | $13.19 | $29.82 | $65.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.27 / $22.72 / $34.27
| Professional | | $12.27 | $22.72 | $34.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.70 / $19.70 / $19.70
| Facility | | $19.70 | $19.70 | $19.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.08 / $19.70 / $19.70
| Professional | | $13.08 | $19.70 | $19.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $12.61 / $34.28
| Professional | | $8.86 | $12.61 | $34.28 |