- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.83 / $54.66 / $72.45
| Facility | | $12.83 | $54.66 | $72.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.51 / $14.17 / $18.51
| Professional | | $12.51 | $14.17 | $18.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.89 / $103.74 / $8,639.91
| Facility | | $79.89 | $103.74 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.36 / $12.36 / $12.36
| Professional | | $12.36 | $12.36 | $12.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.41 / $21.10 / $52.16
| Facility | | $10.41 | $21.10 | $52.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $18.17 / $27.93
| Professional | | $9.94 | $18.17 | $27.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $12.67 / $21.45
| Professional | | $7.29 | $12.67 | $21.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.39 / $56.09 / $138.02
| Facility | | $21.39 | $56.09 | $138.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.50 / $15.00 / $15.00
| Professional | | $9.50 | $15.00 | $15.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.83 / $45.17 / $83.27
| Facility | | $12.83 | $45.17 | $83.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.88 / $14.28 / $65.42
| Professional | | $11.88 | $14.28 | $65.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.61 / $24.07 / $52.16
| Facility | | $10.61 | $24.07 | $52.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $18.17 / $27.93
| Professional | | $9.94 | $18.17 | $27.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.84 / $15.84 / $15.84
| Facility | | $15.84 | $15.84 | $15.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.94 / $15.84 / $22.56
| Professional | | $13.94 | $15.84 | $22.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.28 / $13.28 / $26.57
| Facility | | $13.28 | $13.28 | $26.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.65 / $10.41 / $28.99
| Professional | | $6.65 | $10.41 | $28.99 |