- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $74.13 / $7,244.36
| Facility | | $15.14 | $74.13 | $7,244.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $15.85 / $53.70
| Professional | | $12.88 | $15.85 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.50 / $125.89 / $5,011.87
| Facility | | $95.50 | $125.89 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $14.13 / $17.78
| Professional | | $14.13 | $14.13 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $28.18 / $61.66
| Facility | | $12.02 | $28.18 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $20.42 / $31.62
| Professional | | $10.96 | $20.42 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $18.20 / $26.30
| Professional | | $8.51 | $18.20 | $26.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $18.20 / $18.20
| Facility | | $18.20 | $18.20 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $19.95 / $30.90
| Professional | | $17.78 | $19.95 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $28.18 / $58.88
| Facility | | $8.71 | $28.18 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $17.38
| Professional | | $10.72 | $10.72 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $74.13 / $7,244.36
| Facility | | $16.98 | $74.13 | $7,244.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $16.98 / $74.13
| Professional | | $12.88 | $16.98 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $81.28 / $107.15
| Facility | | $18.20 | $81.28 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $22.39 / $104.71
| Professional | | $10.96 | $22.39 | $104.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $18.20 / $21.38
| Facility | | $12.02 | $18.20 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $13.18 / $31.62
| Professional | | $8.13 | $13.18 | $31.62 |