- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.58 / $53.97 / $77.23
| Facility | | $14.58 | $53.97 | $77.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.73 / $15.32 / $30.86
| Professional | | $13.73 | $15.32 | $30.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.30 / $10.30 / $10.30
| Professional | | $10.30 | $10.30 | $10.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.55 / $112.40 / $8,639.91
| Facility | | $86.55 | $112.40 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.38 / $13.38 / $13.38
| Professional | | $13.38 | $13.38 | $13.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.27 / $22.84 / $56.50
| Facility | | $11.27 | $22.84 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $19.82 / $30.04
| Professional | | $10.72 | $19.82 | $30.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.89 / $13.73 / $23.23
| Professional | | $7.89 | $13.73 | $23.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.89 / $43.32 / $75.31
| Facility | | $27.89 | $43.32 | $75.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.30 / $13.40 / $16.50
| Professional | | $10.30 | $13.40 | $16.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.59 / $43.77 / $77.23
| Facility | | $14.59 | $43.77 | $77.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.87 / $15.55 / $70.87
| Professional | | $12.87 | $15.55 | $70.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $26.07 / $56.50
| Facility | | $11.48 | $26.07 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $19.82 / $30.04
| Professional | | $10.72 | $19.82 | $30.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.16 / $17.16 / $17.16
| Facility | | $17.16 | $17.16 | $17.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.10 / $17.16 / $24.43
| Professional | | $15.10 | $17.16 | $24.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.21 / $10.98 / $30.07
| Professional | | $7.21 | $10.98 | $30.07 |