- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.84 / $55.82 / $100.06
| Facility | | $29.84 | $55.82 | $100.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.48 / $15.16 / $35.11
| Professional | | $12.48 | $15.16 | $35.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.11 / $35.11 / $91.29
| Facility | | $35.11 | $35.11 | $91.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.47 / $14.54 / $47.38
| Professional | | $8.47 | $14.54 | $47.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.07 / $35.11 / $35.11
| Facility | | $21.07 | $35.11 | $35.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.63 / $35.11 / $35.11
| Professional | | $25.63 | $35.11 | $35.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.53 / $71.36 / $91.45
| Facility | | $24.53 | $71.36 | $91.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.92 / $35.43 / $169.23
| Professional | | $12.92 | $35.43 | $169.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.40 / $45.64 / $332.00
| Facility | | $10.40 | $45.64 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.04 / $20.71 / $64.25
| Professional | | $14.04 | $20.71 | $64.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.72 / $18.59 / $36.81
| Professional | | $13.72 | $18.59 | $36.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.53 / $74.75 / $254.50
| Facility | | $24.53 | $74.75 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.44 / $18.01 / $54.42
| Professional | | $13.44 | $18.01 | $54.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.53 / $12.68 / $22.82
| Facility | | $11.53 | $12.68 | $22.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $15.80 / $51.57
| Professional | | $10.50 | $15.80 | $51.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.67 / $40.38 / $43.54
| Facility | | $36.67 | $40.38 | $43.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.72 / $19.82 / $42.20
| Professional | | $13.72 | $19.82 | $42.20 |