- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.93 / $54.60 / $142.57
| Facility | | $12.93 | $54.60 | $142.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $13.59 / $13.79
| Professional | | $12.02 | $13.59 | $13.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.13 / $9.13 / $9.13
| Professional | | $9.13 | $9.13 | $9.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.70 / $99.61 / $8,639.91
| Facility | | $76.70 | $99.61 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.86 / $11.86 / $11.86
| Professional | | $11.86 | $11.86 | $11.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $20.26 / $49.98
| Facility | | $10.00 | $20.26 | $49.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $17.35 / $26.66
| Professional | | $9.47 | $17.35 | $26.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $8.97 / $20.59
| Professional | | $7.00 | $8.97 | $20.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.41 / $64.56 / $230.64
| Facility | | $30.41 | $64.56 | $230.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.13 / $14.50 / $14.50
| Professional | | $9.13 | $14.50 | $14.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.94 / $45.26 / $142.57
| Facility | | $16.94 | $45.26 | $142.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.41 / $13.69 / $62.82
| Professional | | $11.41 | $13.69 | $62.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $23.10 / $49.98
| Facility | | $10.19 | $23.10 | $49.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $17.35 / $26.66
| Professional | | $9.47 | $17.35 | $26.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.21 / $15.21 / $15.21
| Facility | | $15.21 | $15.21 | $15.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.38 / $15.21 / $21.65
| Professional | | $13.38 | $15.21 | $21.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.39 / $9.33 / $27.83
| Professional | | $6.39 | $9.33 | $27.83 |