- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.63 / $84.54 / $114.51
| Facility | | $21.63 | $84.54 | $114.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.34 / $20.87 / $46.16
| Professional | | $10.34 | $20.87 | $46.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.27 / $15.27 / $25.45
| Professional | | $15.27 | $15.27 | $25.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.90 / $114.15 / $8,639.91
| Facility | | $87.90 | $114.15 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.85 / $19.85 / $19.85
| Professional | | $19.85 | $19.85 | $19.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.72 / $32.29 / $73.92
| Facility | | $16.72 | $32.29 | $73.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.03 / $12.03 / $31.98
| Professional | | $12.03 | $12.03 | $31.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.71 / $15.02 / $34.46
| Professional | | $11.71 | $15.02 | $34.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.34 / $61.59 / $112.85
| Facility | | $23.34 | $61.59 | $112.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.55 / $17.82 / $19.61
| Professional | | $16.55 | $17.82 | $19.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.62 / $80.08 / $134.43
| Facility | | $21.62 | $80.08 | $134.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.34 / $20.18 / $60.13
| Professional | | $10.34 | $20.18 | $60.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.04 / $31.44 / $84.76
| Facility | | $17.04 | $31.44 | $84.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.03 / $28.69 / $36.65
| Professional | | $12.03 | $28.69 | $36.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.45 / $25.45 / $28.00
| Facility | | $25.45 | $25.45 | $28.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.40 / $25.45 / $28.00
| Professional | | $22.40 | $25.45 | $28.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.69 / $15.78 / $39.45
| Professional | | $10.69 | $15.78 | $39.45 |