- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.87 / $43.21 / $66.44
| Facility | | $12.87 | $43.21 | $66.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $11.49 / $15.25
| Professional | | $10.96 | $11.49 | $15.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.00 / $84.41 / $8,639.91
| Facility | | $65.00 | $84.41 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.39 / $12.39 / $12.39
| Professional | | $12.39 | $12.39 | $12.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.44 / $20.66 / $53.24
| Facility | | $10.44 | $20.66 | $53.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $17.98 / $23.77
| Professional | | $8.08 | $17.98 | $23.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.31 / $9.38 / $21.52
| Professional | | $7.31 | $9.38 | $21.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.20 / $28.04 / $28.91
| Facility | | $27.20 | $28.04 | $28.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.51 / $43.21 / $66.44
| Facility | | $13.51 | $43.21 | $66.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.12 / $12.87 / $65.63
| Professional | | $11.12 | $12.87 | $65.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.64 / $21.16 / $53.24
| Facility | | $10.64 | $21.16 | $53.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $17.98 / $22.72
| Professional | | $8.08 | $17.98 | $22.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.89 / $15.89 / $15.89
| Facility | | $15.89 | $15.89 | $15.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.98 / $15.89 / $18.34
| Professional | | $13.98 | $15.89 | $18.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.67 / $9.52 / $27.65
| Professional | | $6.67 | $9.52 | $27.65 |