- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.21 / $56.61 / $217.92
| Facility | | $11.21 | $56.61 | $217.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $11.88 / $34.47
| Professional | | $10.68 | $11.88 | $34.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.92 / $7.92 / $7.92
| Professional | | $7.92 | $7.92 | $7.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.48 / $86.33 / $8,639.91
| Facility | | $66.48 | $86.33 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.29 / $10.29 / $10.29
| Professional | | $10.29 | $10.29 | $10.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.67 / $17.55 / $43.46
| Facility | | $8.67 | $17.55 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $15.28 / $23.27
| Professional | | $8.23 | $15.28 | $23.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.07 / $8.11 / $17.86
| Professional | | $6.07 | $8.11 | $17.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $27.56 / $40.57
| Facility | | $17.38 | $27.56 | $40.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $12.50 / $12.50
| Professional | | $7.91 | $12.50 | $12.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.33 / $37.44 / $136.71
| Facility | | $12.33 | $37.44 | $136.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.89 / $11.88 / $54.47
| Professional | | $9.89 | $11.88 | $54.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.83 / $20.03 / $43.46
| Facility | | $8.83 | $20.03 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $15.28 / $23.27
| Professional | | $8.23 | $15.28 | $23.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.19 / $13.19 / $13.19
| Facility | | $13.19 | $13.19 | $13.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $13.19 / $18.78
| Professional | | $11.61 | $13.19 | $18.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $8.44 / $23.10
| Professional | | $5.54 | $8.44 | $23.10 |