- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.27 / $63.65 / $80.89
| Facility | | $15.27 | $63.65 | $80.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.20 / $16.29 / $17.98
| Professional | | $14.20 | $16.29 | $17.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.79 / $10.79 / $10.79
| Professional | | $10.79 | $10.79 | $10.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.38 / $113.48 / $8,639.91
| Facility | | $87.38 | $113.48 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.02 / $14.02 / $14.02
| Professional | | $14.02 | $14.02 | $14.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.82 / $23.95 / $59.76
| Facility | | $11.82 | $23.95 | $59.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.34 / $20.65 / $31.31
| Professional | | $11.34 | $20.65 | $31.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $10.61 / $24.34
| Professional | | $8.27 | $10.61 | $24.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.69 / $40.65 / $88.67
| Facility | | $23.69 | $40.65 | $88.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.79 / $15.29 / $17.50
| Professional | | $10.79 | $15.29 | $17.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.56 / $47.47 / $88.44
| Facility | | $14.56 | $47.47 | $88.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.02 / $16.29 / $51.04
| Professional | | $14.02 | $16.29 | $51.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.04 / $27.31 / $59.76
| Facility | | $12.04 | $27.31 | $59.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.34 / $20.65 / $31.31
| Professional | | $11.34 | $20.65 | $31.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.98 / $17.98 / $17.98
| Facility | | $17.98 | $17.98 | $17.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.82 / $17.98 / $22.26
| Professional | | $15.82 | $17.98 | $22.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.55 / $10.79 / $30.57
| Professional | | $7.55 | $10.79 | $30.57 |