- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.22 / $73.93 / $185.22
| Facility | | $15.22 | $73.93 | $185.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.32 / $16.00 / $31.90
| Professional | | $14.32 | $16.00 | $31.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.28 / $117.24 / $8,639.91
| Facility | | $90.28 | $117.24 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.96 / $13.96 / $13.96
| Professional | | $13.96 | $13.96 | $13.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.76 / $23.85 / $59.76
| Facility | | $11.76 | $23.85 | $59.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $20.65 / $31.31
| Professional | | $11.18 | $20.65 | $31.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $14.32 / $24.24
| Professional | | $8.23 | $14.32 | $24.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.13 / $51.02 / $123.38
| Facility | | $35.13 | $51.02 | $123.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $13.87 / $17.00
| Professional | | $10.74 | $13.87 | $17.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.73 / $50.83 / $284.61
| Facility | | $16.73 | $50.83 | $284.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.24 / $16.12 / $73.93
| Professional | | $13.24 | $16.12 | $73.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.99 / $27.19 / $59.76
| Facility | | $11.99 | $27.19 | $59.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $20.65 / $31.31
| Professional | | $11.18 | $20.65 | $31.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $17.89 / $17.89
| Facility | | $17.89 | $17.89 | $17.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.75 / $17.89 / $25.49
| Professional | | $15.75 | $17.89 | $25.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.16 / $8.94 / $12.28
| Facility | | $7.16 | $8.94 | $12.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $11.10 / $32.76
| Professional | | $8.06 | $11.10 | $32.76 |