- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.95 / $120.95 / $541.52
| Facility | | $10.95 | $120.95 | $541.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.43 / $22.46 / $58.45
| Professional | | $10.43 | $22.46 | $58.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $7.73 / $7.73
| Professional | | $7.73 | $7.73 | $7.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.97 / $84.36 / $8,639.91
| Facility | | $64.97 | $84.36 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.05 / $10.05 / $10.05
| Professional | | $10.05 | $10.05 | $10.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.46 / $17.14 / $42.38
| Facility | | $8.46 | $17.14 | $42.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $14.87 / $22.43
| Professional | | $8.08 | $14.87 | $22.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $7.60 / $17.44
| Professional | | $5.92 | $7.60 | $17.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.82 / $42.00 / $74.53
| Facility | | $22.82 | $42.00 | $74.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $7.73 / $12.50
| Professional | | $7.73 | $7.73 | $12.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $66.98 / $411.93
| Facility | | $12.05 | $66.98 | $411.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.05 / $11.68 / $57.55
| Professional | | $10.05 | $11.68 | $57.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.61 / $19.57 / $42.38
| Facility | | $8.61 | $19.57 | $42.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $14.87 / $22.43
| Professional | | $8.08 | $14.87 | $22.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $12.88
| Facility | | $12.88 | $12.88 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.33 / $12.88 / $18.34
| Professional | | $11.33 | $12.88 | $18.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.99 / $22.57
| Professional | | $5.41 | $7.99 | $22.57 |