- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $36.31 / $67.61
| Facility | | $14.13 | $36.31 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $10.96 / $23.99
| Professional | | $10.00 | $10.96 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $93.33 / $5,011.87
| Facility | | $70.79 | $93.33 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $13.18
| Professional | | $10.47 | $10.47 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $20.42 / $45.71
| Facility | | $8.91 | $20.42 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $14.79 / $23.44
| Professional | | $8.13 | $14.79 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $13.49 / $19.50
| Professional | | $6.31 | $13.49 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $13.49 / $13.49
| Facility | | $13.49 | $13.49 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $14.79 / $23.44
| Professional | | $13.49 | $14.79 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $39.81 / $138.04
| Facility | | $25.12 | $39.81 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $7.94 / $7.94
| Professional | | $7.94 | $7.94 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $36.31 / $77.62
| Facility | | $14.13 | $36.31 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.02 / $48.98
| Professional | | $10.00 | $12.02 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $16.98 / $20.42
| Facility | | $4.27 | $16.98 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $16.98 / $20.42
| Professional | | $4.27 | $16.98 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $13.49 / $16.22
| Facility | | $8.91 | $13.49 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $8.71 / $23.44
| Professional | | $5.62 | $8.71 | $23.44 |