- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.48 / $89.15 / $178.85
| Facility | | $20.48 | $89.15 | $178.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.06 / $16.37 / $32.15
| Professional | | $12.06 | $16.37 | $32.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.08 / $118.27 / $8,639.91
| Facility | | $91.08 | $118.27 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.80 / $18.80 / $18.80
| Professional | | $18.80 | $18.80 | $18.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $31.34 / $80.41
| Facility | | $15.85 | $31.34 | $80.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.34 / $27.16 / $36.18
| Professional | | $11.34 | $27.16 | $36.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.09 / $14.22 / $32.64
| Professional | | $11.09 | $14.22 | $32.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.35 / $62.38 / $157.53
| Facility | | $33.35 | $62.38 | $157.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.99 / $15.99 / $17.50
| Professional | | $15.99 | $15.99 | $17.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.53 / $65.56 / $206.40
| Facility | | $19.53 | $65.56 | $206.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.19 / $17.55 / $99.57
| Professional | | $15.19 | $17.55 | $99.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,003.93 / $1,950.20 / $2,383.01
| Facility | | $1,003.93 | $1,950.20 | $2,383.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.14 / $32.10 / $80.41
| Facility | | $16.14 | $32.10 | $80.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.34 / $27.16 / $35.11
| Professional | | $11.34 | $27.16 | $35.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.11 / $24.11 / $25.71
| Facility | | $24.11 | $24.11 | $25.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.22 / $24.11 / $25.71
| Professional | | $21.22 | $24.11 | $25.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.13 / $14.47 / $40.99
| Professional | | $10.13 | $14.47 | $40.99 |