- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.20 / $84.11 / $211.47
| Facility | | $17.20 | $84.11 | $211.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.79 / $18.04 / $18.36
| Professional | | $15.79 | $18.04 | $18.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.06 / $132.53 / $8,639.91
| Facility | | $102.06 | $132.53 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.79 / $15.79 / $15.79
| Professional | | $15.79 | $15.79 | $15.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.30 / $26.96 / $67.37
| Facility | | $13.30 | $26.96 | $67.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $23.54 / $35.54
| Professional | | $12.74 | $23.54 | $35.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.31 / $11.94 / $27.40
| Professional | | $9.31 | $11.94 | $27.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.44 / $51.10 / $154.34
| Facility | | $30.44 | $51.10 | $154.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.82 / $19.50 / $19.50
| Professional | | $15.82 | $19.50 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.20 / $75.34 / $197.76
| Facility | | $17.20 | $75.34 | $197.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.57 / $18.04 / $83.59
| Professional | | $14.57 | $18.04 | $83.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.55 / $30.74 / $67.37
| Facility | | $13.55 | $30.74 | $67.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $23.54 / $35.54
| Professional | | $12.74 | $23.54 | $35.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.23 / $20.23 / $20.23
| Facility | | $20.23 | $20.23 | $20.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.80 / $20.23 / $28.80
| Professional | | $17.80 | $20.23 | $28.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $13.30 / $37.04
| Professional | | $9.11 | $13.30 | $37.04 |