- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.54 / $59.55 / $186.38
| Facility | | $16.54 | $59.55 | $186.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.13 / $18.23 / $18.51
| Professional | | $16.13 | $18.23 | $18.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.96 / $133.71 / $8,639.91
| Facility | | $102.96 | $133.71 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.93 / $15.93 / $15.93
| Professional | | $15.93 | $15.93 | $15.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.42 / $27.19 / $67.37
| Facility | | $13.42 | $27.19 | $67.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $23.54 / $35.97
| Professional | | $12.74 | $23.54 | $35.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.39 / $12.05 / $27.65
| Professional | | $9.39 | $12.05 | $27.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.40 / $101.40 / $219.54
| Facility | | $43.40 | $101.40 | $219.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $19.50 / $19.50
| Professional | | $19.50 | $19.50 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.36 / $57.98 / $174.35
| Facility | | $17.36 | $57.98 | $174.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.32 / $18.28 / $84.33
| Professional | | $15.32 | $18.28 | $84.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.67 / $31.00 / $67.37
| Facility | | $13.67 | $31.00 | $67.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $23.54 / $35.97
| Professional | | $12.74 | $23.54 | $35.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $20.42
| Facility | | $20.42 | $20.42 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.97 / $20.42 / $29.07
| Professional | | $17.97 | $20.42 | $29.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.17 / $10.21 / $14.02
| Facility | | $8.17 | $10.21 | $14.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $13.41 / $35.77
| Professional | | $9.19 | $13.41 | $35.77 |