- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $85.11 / $263.03
| Facility | | $31.62 | $85.11 | $263.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $17.78 / $85.11
| Professional | | $12.88 | $17.78 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $27.54 / $107.15
| Facility | | $17.78 | $27.54 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $19.50 / $41.69
| Professional | | $11.75 | $19.50 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $47.86 / $69.18
| Facility | | $38.02 | $47.86 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $18.62 / $20.42
| Professional | | $18.62 | $18.62 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $30.90 / $75.86
| Facility | | $15.14 | $30.90 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $23.99 / $36.31
| Professional | | $14.13 | $23.99 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $3,630.78 / $9,772.37
| Facility | | $28.84 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $28.18 / $33.11
| Professional | | $28.18 | $28.18 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $19.50 / $60.26
| Professional | | $19.50 | $19.50 | $60.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $29.51 / $263.03
| Facility | | $22.91 | $29.51 | $263.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $27.54 / $107.15
| Facility | | $17.78 | $27.54 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $19.50 / $41.69
| Professional | | $11.75 | $19.50 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $20.42 / $29.51
| Professional | | $17.38 | $20.42 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $19.50 / $32.36
| Facility | | $11.22 | $19.50 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $16.60 / $46.77
| Professional | | $9.77 | $16.60 | $46.77 |