- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $94.74 / $327.10
| Facility | | $19.50 | $94.74 | $327.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.57 / $20.50 / $22.02
| Professional | | $18.57 | $20.50 | $22.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.76 / $13.76 / $13.76
| Professional | | $13.76 | $13.76 | $13.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115.74 / $150.30 / $8,639.91
| Facility | | $115.74 | $150.30 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.89 / $17.89 / $17.89
| Professional | | $17.89 | $17.89 | $17.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.07 / $30.55 / $76.06
| Facility | | $15.07 | $30.55 | $76.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.44 / $26.43 / $40.20
| Professional | | $14.44 | $26.43 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.55 / $13.53 / $31.06
| Professional | | $10.55 | $13.53 | $31.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.22 / $74.17 / $220.38
| Facility | | $36.22 | $74.17 | $220.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.76 / $17.88 / $22.00
| Professional | | $13.76 | $17.88 | $22.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.15 / $86.03 / $322.33
| Facility | | $24.15 | $86.03 | $322.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.21 / $20.50 / $94.74
| Professional | | $17.21 | $20.50 | $94.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.36 / $34.86 / $76.06
| Facility | | $15.36 | $34.86 | $76.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.44 / $26.43 / $40.20
| Professional | | $14.44 | $26.43 | $40.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.94 / $22.94 / $22.94
| Facility | | $22.94 | $22.94 | $22.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.19 / $22.94 / $32.67
| Professional | | $20.19 | $22.94 | $32.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.32 / $14.68 / $41.98
| Professional | | $10.32 | $14.68 | $41.98 |