- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.82 / $50.40 / $133.59
| Facility | | $13.82 | $50.40 | $133.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.01 / $14.17 / $28.34
| Professional | | $13.01 | $14.17 | $28.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.76 / $9.76 / $11.94
| Professional | | $9.76 | $9.76 | $11.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.00 / $106.48 / $8,639.91
| Facility | | $82.00 | $106.48 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.68 / $12.68 / $12.68
| Professional | | $12.68 | $12.68 | $12.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.69 / $21.65 / $54.33
| Facility | | $10.69 | $21.65 | $54.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.25 / $18.59 / $28.35
| Professional | | $10.25 | $18.59 | $28.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $13.01 / $22.02
| Professional | | $7.48 | $13.01 | $22.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.11 / $41.46 / $81.59
| Facility | | $23.11 | $41.46 | $81.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.76 / $15.50 / $15.50
| Professional | | $9.76 | $15.50 | $15.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.82 / $47.15 / $112.39
| Facility | | $13.82 | $47.15 | $112.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.57 / $14.17 / $42.18
| Professional | | $10.57 | $14.17 | $42.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.89 / $24.70 / $54.33
| Facility | | $10.89 | $24.70 | $54.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.25 / $18.59 / $28.35
| Professional | | $10.25 | $18.59 | $28.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.26 / $16.26 / $16.26
| Facility | | $16.26 | $16.26 | $16.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.31 / $16.26 / $23.14
| Professional | | $14.31 | $16.26 | $23.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.32 / $11.87 / $30.89
| Professional | | $7.32 | $11.87 | $30.89 |