- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.34 / $38.07 / $58.55
| Facility | | $11.34 | $38.07 | $58.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.46 / $11.91 / $16.19
| Professional | | $9.46 | $11.91 | $16.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.26 / $69.16 / $8,639.91
| Facility | | $53.26 | $69.16 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.92 / $10.92 / $10.92
| Professional | | $10.92 | $10.92 | $10.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.19 / $18.64 / $46.72
| Facility | | $9.19 | $18.64 | $46.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.85 / $16.11 / $24.54
| Professional | | $8.85 | $16.11 | $24.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $8.26 / $18.96
| Professional | | $6.44 | $8.26 | $18.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.90 / $24.90 / $24.90
| Facility | | $24.90 | $24.90 | $24.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $10.00 / $10.00
| Professional | | $10.00 | $10.00 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.90 / $38.07 / $58.55
| Facility | | $11.90 | $38.07 | $58.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.46 / $12.21 / $57.82
| Professional | | $9.46 | $12.21 | $57.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $221.98 / $221.98 / $221.98
| Facility | | $221.98 | $221.98 | $221.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.36 / $21.29 / $46.72
| Facility | | $9.36 | $21.29 | $46.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.85 / $16.11 / $24.54
| Professional | | $8.85 | $16.11 | $24.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.00 / $14.00 / $14.00
| Facility | | $14.00 | $14.00 | $14.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.32 / $14.00 / $15.04
| Professional | | $12.32 | $14.00 | $15.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.20 / $8.68 / $26.25
| Professional | | $6.20 | $8.68 | $26.25 |