- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.98 / $90.60 / $195.54
| Facility | | $19.98 | $90.60 | $195.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $17.42 / $102.75
| Professional | | $12.59 | $17.42 | $102.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.74 / $45.66 / $293.00
| Facility | | $20.74 | $45.66 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $14.92 / $43.93
| Professional | | $9.35 | $14.92 | $43.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.10 / $87.40 / $243.43
| Facility | | $45.10 | $87.40 | $243.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $16.77 / $65.45
| Professional | | $11.74 | $16.77 | $65.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.11 / $24.85 / $63.35
| Facility | | $13.11 | $24.85 | $63.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.31 / $22.96 / $33.72
| Professional | | $12.31 | $22.96 | $33.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.82 / $18.93 / $30.29
| Professional | | $16.82 | $18.93 | $30.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $18.93 / $41.27
| Professional | | $15.14 | $18.93 | $41.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96.90 / $123.00 / $123.00
| Facility | | $96.90 | $123.00 | $123.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.46 / $9.46 / $9.46
| Professional | | $9.46 | $9.46 | $9.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.71 / $22.72 / $61.10
| Facility | | $15.71 | $22.72 | $61.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.52 / $18.93 / $37.86
| Professional | | $12.52 | $18.93 | $37.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.44 / $66.44 / $66.44
| Professional | | $66.44 | $66.44 | $66.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $18.93 / $26.50
| Professional | | $15.14 | $18.93 | $26.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.95 / $11.27 / $36.36
| Professional | | $7.95 | $11.27 | $36.36 |