- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.02 / $64.06 / $480.15
| Facility | | $13.02 | $64.06 | $480.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.26 / $13.36 / $27.34
| Professional | | $12.26 | $13.36 | $27.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $9.19 / $9.19
| Professional | | $9.19 | $9.19 | $9.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.26 / $100.33 / $8,639.91
| Facility | | $77.26 | $100.33 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.95 / $11.95 / $11.95
| Professional | | $11.95 | $11.95 | $11.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.07 / $20.41 / $51.07
| Facility | | $10.07 | $20.41 | $51.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.63 / $17.35 / $26.66
| Professional | | $9.63 | $17.35 | $26.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.05 / $12.26 / $20.74
| Professional | | $7.05 | $12.26 | $20.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.74 / $36.03 / $87.33
| Facility | | $22.74 | $36.03 | $87.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $11.85 / $14.50
| Professional | | $9.19 | $11.85 | $14.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.01 / $52.87 / $301.83
| Facility | | $13.01 | $52.87 | $301.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.49 / $13.36 / $63.27
| Professional | | $11.49 | $13.36 | $63.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.26 / $23.28 / $51.07
| Facility | | $10.26 | $23.28 | $51.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.63 / $17.35 / $26.66
| Professional | | $9.63 | $17.35 | $26.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.32 / $15.32 / $15.32
| Facility | | $15.32 | $15.32 | $15.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.48 / $15.32 / $21.82
| Professional | | $13.48 | $15.32 | $21.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.13 / $7.66 / $10.51
| Facility | | $6.13 | $7.66 | $10.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.89 / $10.07 / $33.19
| Professional | | $6.89 | $10.07 | $33.19 |