- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $60.26 / $223.87
| Facility | | $22.91 | $60.26 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.02 / $95.50
| Professional | | $8.91 | $12.02 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $7.24 / $14.79
| Professional | | $7.24 | $7.24 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $44.67 / $104.71
| Facility | | $30.20 | $44.67 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $21.88 / $23.44
| Professional | | $11.48 | $21.88 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $70.79 / $70.79
| Facility | | $70.79 | $70.79 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $27.54 / $34.67
| Professional | | $16.60 | $27.54 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $52.48 / $204.17
| Facility | | $9.55 | $52.48 | $204.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.71 / $26.92
| Professional | | $6.03 | $8.71 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $29.51 / $37.15
| Professional | | $17.78 | $29.51 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $17.78 / $17.78
| Facility | | $17.78 | $17.78 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $954.99 / $1,122.02
| Facility | | $954.99 | $954.99 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $12.88 / $26.92
| Facility | | $6.46 | $12.88 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $8.71 / $15.85
| Professional | | $7.08 | $8.71 | $15.85 |