- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.54 / $69.78 / $246.40
| Facility | | $18.54 | $69.78 | $246.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.09 / $24.37 / $43.46
| Professional | | $18.09 | $24.37 | $43.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.70 / $58.78 / $293.00
| Facility | | $26.70 | $58.78 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.04 / $19.20 / $56.73
| Professional | | $12.04 | $19.20 | $56.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.43 / $92.60 / $310.20
| Facility | | $51.43 | $92.60 | $310.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.11 / $21.58 / $69.93
| Professional | | $15.11 | $21.58 | $69.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.88 / $32.00 / $81.58
| Facility | | $16.88 | $32.00 | $81.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.92 / $29.66 / $43.37
| Professional | | $15.92 | $29.66 | $43.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.66 / $24.37 / $38.99
| Professional | | $21.66 | $24.37 | $38.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $24.37 / $53.13
| Professional | | $19.50 | $24.37 | $53.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113.84 / $144.75 / $144.75
| Facility | | $113.84 | $144.75 | $144.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.62 / $14.62 / $14.62
| Professional | | $14.62 | $14.62 | $14.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.22 / $28.20 / $65.00
| Facility | | $20.22 | $28.20 | $65.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.23 / $24.37 / $48.74
| Professional | | $16.23 | $24.37 | $48.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.53 / $85.53 / $85.53
| Professional | | $85.53 | $85.53 | $85.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $24.37 / $34.11
| Professional | | $19.50 | $24.37 | $34.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.24 / $14.50 / $44.25
| Professional | | $10.24 | $14.50 | $44.25 |