- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.79 / $38.92 / $175.76
| Facility | | $13.79 | $38.92 | $175.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.17 / $11.91 / $33.51
| Professional | | $11.17 | $11.91 | $33.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.40 / $28.76 / $150.44
| Facility | | $11.40 | $28.76 | $150.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.20 / $13.79 / $33.59
| Professional | | $6.20 | $13.79 | $33.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.12 / $35.22 / $61.58
| Facility | | $22.12 | $35.22 | $61.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.96 / $12.96 / $15.99
| Professional | | $12.96 | $12.96 | $15.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.64 / $18.82 / $42.71
| Facility | | $9.64 | $18.82 | $42.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $13.82 / $21.24
| Professional | | $8.33 | $13.82 | $21.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.07 / $20.07 / $23.62
| Professional | | $20.07 | $20.07 | $23.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.79 / $19.11 / $46.50
| Professional | | $13.79 | $19.11 | $46.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.17 / $16.00 / $277.08
| Facility | | $13.17 | $16.00 | $277.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.76 / $150.44 / $150.44
| Facility | | $28.76 | $150.44 | $150.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.27 / $26.39
| Professional | | $5.25 | $8.27 | $26.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.27 / $22.39
| Professional | | $5.25 | $8.27 | $22.39 |