- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.21 / $49.60 / $155.91
| Facility | | $10.21 | $49.60 | $155.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.07 / $30.63 / $40.84
| Professional | | $10.07 | $30.63 | $40.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.55 / $78.63 / $8,639.91
| Facility | | $60.55 | $78.63 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $9.36 / $9.36
| Professional | | $9.36 | $9.36 | $9.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.90 / $16.00 / $40.20
| Facility | | $7.90 | $16.00 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $13.63 / $21.16
| Professional | | $7.46 | $13.63 | $21.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.52 / $7.09 / $16.26
| Professional | | $5.52 | $7.09 | $16.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.82 / $26.84 / $68.40
| Facility | | $17.82 | $26.84 | $68.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.21 / $11.50 / $11.50
| Professional | | $7.21 | $11.50 | $11.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.23 / $34.10 / $143.38
| Facility | | $11.23 | $34.10 | $143.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $18.48 / $49.60
| Professional | | $9.49 | $18.48 | $49.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $448.18 / $448.18 / $448.18
| Facility | | $448.18 | $448.18 | $448.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.03 / $18.25 / $40.20
| Facility | | $8.03 | $18.25 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $13.63 / $21.16
| Professional | | $7.46 | $13.63 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.01 / $12.01 / $12.01
| Facility | | $12.01 | $12.01 | $12.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.57 / $12.01 / $17.10
| Professional | | $10.57 | $12.01 | $17.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $7.36 / $21.04
| Professional | | $5.04 | $7.36 | $21.04 |