- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.86 / $56.59 / $87.03
| Facility | | $16.86 | $56.59 | $87.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.44 / $18.55 / $20.81
| Professional | | $16.44 | $18.55 | $20.81 |
- 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
- $16.23 / $16.23 / $16.23
| Professional | | $16.23 | $16.23 | $16.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.67 / $27.72 / $69.54
| Facility | | $13.67 | $27.72 | $69.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.05 / $23.95 / $36.39
| Professional | | $13.05 | $23.95 | $36.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.57 / $16.64 / $28.18
| Professional | | $9.57 | $16.64 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.31 / $222.40 / $222.40
| Facility | | $57.31 | $222.40 | $222.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.86 / $56.59 / $87.03
| Facility | | $16.86 | $56.59 | $87.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.98 / $18.63 / $85.95
| Professional | | $14.98 | $18.63 | $85.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.94 / $31.61 / $69.54
| Facility | | $13.94 | $31.61 | $69.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.05 / $23.95 / $36.39
| Professional | | $13.05 | $23.95 | $36.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.81 / $20.81 / $26.61
| Facility | | $20.81 | $20.81 | $26.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.30 / $20.81 / $26.61
| Professional | | $18.30 | $20.81 | $26.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $17.89 / $35.77
| Facility | | $17.89 | $17.89 | $35.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $14.70 / $38.08
| Professional | | $9.36 | $14.70 | $38.08 |