- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.23 / $42.81 / $60.19
| Facility | | $12.23 | $42.81 | $60.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $12.95 / $25.61
| Professional | | $9.35 | $12.95 | $25.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.59 / $94.27 / $8,639.91
| Facility | | $72.59 | $94.27 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.22 / $11.22
| Professional | | $11.22 | $11.22 | $11.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.46 / $19.16 / $47.81
| Facility | | $9.46 | $19.16 | $47.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $16.52 / $25.39
| Professional | | $9.01 | $16.52 | $25.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.62 / $8.49 / $19.48
| Professional | | $6.62 | $8.49 | $19.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.43 / $33.43 / $274.08
| Facility | | $17.43 | $33.43 | $274.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.63 / $8.63 / $8.63
| Professional | | $8.63 | $8.63 | $8.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.23 / $38.40 / $62.96
| Facility | | $12.23 | $38.40 | $62.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $13.81 / $59.43
| Professional | | $9.35 | $13.81 | $59.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.63 / $21.86 / $47.81
| Facility | | $9.63 | $21.86 | $47.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $16.52 / $25.39
| Professional | | $9.01 | $16.52 | $25.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.39 / $14.39 / $14.39
| Facility | | $14.39 | $14.39 | $14.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.66 / $14.39 / $20.49
| Professional | | $12.66 | $14.39 | $20.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $8.63 / $25.22
| Professional | | $6.04 | $8.63 | $25.22 |