- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.70 / $101.56 / $157.94
| Facility | | $21.70 | $101.56 | $157.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.13 / $22.24 / $43.82
| Professional | | $7.13 | $22.24 | $43.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.32 / $15.32 / $15.32
| Professional | | $15.32 | $15.32 | $15.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.72 / $167.16 / $8,639.91
| Facility | | $128.72 | $167.16 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.91 / $19.91 / $19.91
| Professional | | $19.91 | $19.91 | $19.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.66 / $33.99 / $84.76
| Facility | | $17.66 | $33.99 | $84.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.00 / $29.32 / $44.85
| Professional | | $16.00 | $29.32 | $44.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $15.06 / $34.57
| Professional | | $11.74 | $15.06 | $34.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.36 / $67.22 / $186.47
| Facility | | $39.36 | $67.22 | $186.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.32 / $24.50 / $24.50
| Professional | | $15.32 | $24.50 | $24.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.71 / $74.04 / $181.79
| Facility | | $21.71 | $74.04 | $181.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.38 / $22.23 / $43.82
| Professional | | $18.38 | $22.23 | $43.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.09 / $38.78 / $84.76
| Facility | | $17.09 | $38.78 | $84.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.00 / $29.32 / $44.85
| Professional | | $16.00 | $29.32 | $44.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.53 / $25.53 / $25.53
| Facility | | $25.53 | $25.53 | $25.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.47 / $25.53 / $36.34
| Professional | | $22.47 | $25.53 | $36.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.49 / $15.32 / $44.72
| Professional | | $11.49 | $15.32 | $44.72 |