- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.48 / $44.96 / $73.00
| Facility | | $14.48 | $44.96 | $73.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.79 / $15.32 / $30.86
| Professional | | $13.79 | $15.32 | $30.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.90 / $111.55 / $8,639.91
| Facility | | $85.90 | $111.55 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.28 / $13.28 / $13.28
| Professional | | $13.28 | $13.28 | $13.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.20 / $22.68 / $56.50
| Facility | | $11.20 | $22.68 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.50 / $23.58 / $55.04
| Professional | | $16.50 | $23.58 | $55.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $10.05 / $23.06
| Professional | | $7.83 | $10.05 | $23.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.28 / $39.56 / $88.82
| Facility | | $25.28 | $39.56 | $88.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.22 / $16.23 / $16.23
| Professional | | $10.22 | $16.23 | $16.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.48 / $43.26 / $74.47
| Facility | | $14.48 | $43.26 | $74.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.77 / $15.42 / $70.33
| Professional | | $12.77 | $15.42 | $70.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.40 / $25.87 / $56.50
| Facility | | $11.40 | $25.87 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.50 / $23.58 / $42.06
| Professional | | $16.50 | $23.58 | $42.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.03 / $17.03 / $24.25
| Facility | | $17.03 | $17.03 | $24.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.99 / $17.03 / $24.25
| Professional | | $14.99 | $17.03 | $24.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $10.00 / $10.00
| Facility | | $10.00 | $10.00 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.15 / $11.07 / $29.84
| Professional | | $7.15 | $11.07 | $29.84 |