- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.95 / $85.02 / $139.41
| Facility | | $28.95 | $85.02 | $139.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.79 / $16.39 / $22.07
| Professional | | $13.79 | $16.39 | $22.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.78 / $32.31 / $87.35
| Facility | | $16.78 | $32.31 | $87.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $18.39 / $44.79
| Professional | | $11.03 | $18.39 | $44.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.40 / $51.61 / $90.23
| Facility | | $32.40 | $51.61 | $90.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.29 / $17.29 / $23.03
| Professional | | $17.29 | $17.29 | $23.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.85 / $27.32 / $62.87
| Facility | | $12.85 | $27.32 | $62.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $20.34 / $31.19
| Professional | | $11.03 | $20.34 | $31.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.60 / $26.60 / $31.30
| Professional | | $26.60 | $26.60 | $31.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.39 / $25.49 / $68.47
| Professional | | $18.39 | $25.49 | $68.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.32 / $24.06 / $145.46
| Facility | | $20.32 | $24.06 | $145.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.31 / $87.35 / $87.35
| Facility | | $32.31 | $87.35 | $87.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $12.34 / $38.84
| Professional | | $8.83 | $12.34 | $38.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.84 / $21.99 / $40.90
| Facility | | $17.84 | $21.99 | $40.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.03 / $18.96 / $23.25
| Professional | | $17.03 | $18.96 | $23.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $14.00 / $38.84
| Professional | | $8.83 | $14.00 | $38.84 |