- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $51.29 / $131.83
| Facility | | $21.38 | $51.29 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $14.13 / $15.85
| Professional | | $10.96 | $14.13 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $22.39 / $165.96
| Facility | | $14.45 | $22.39 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $15.85 / $33.11
| Professional | | $6.61 | $15.85 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.90 / $38.90 / $60.26
| Facility | | $30.90 | $38.90 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $14.79 / $19.50
| Professional | | $14.79 | $14.79 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $25.12 / $60.26
| Facility | | $12.30 | $25.12 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $19.50 / $26.92
| Professional | | $11.48 | $19.50 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $3,630.78 / $9,772.37
| Facility | | $21.88 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $22.91 / $26.92
| Professional | | $22.91 | $22.91 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $15.85 / $45.71
| Professional | | $15.85 | $15.85 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $19.95 / $102.33
| Facility | | $14.13 | $19.95 | $102.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $22.39 / $165.96
| Facility | | $14.45 | $22.39 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $15.85 / $33.11
| Professional | | $7.59 | $15.85 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $15.85 / $23.44
| Professional | | $13.80 | $15.85 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $15.85 / $25.70
| Facility | | $9.12 | $15.85 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $12.88 / $36.31
| Professional | | $3.16 | $12.88 | $36.31 |