- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.12 / $63.90 / $126.48
| Facility | | $20.12 | $63.90 | $126.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.23 / $11.68 / $23.20
| Professional | | $11.23 | $11.68 | $23.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $31.86 / $521.94
| Facility | | $11.75 | $31.86 | $521.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $12.88 / $31.37
| Professional | | $6.18 | $12.88 | $31.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.63 / $36.04 / $63.00
| Facility | | $22.63 | $36.04 | $63.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.11 / $12.11 / $16.48
| Professional | | $12.11 | $12.11 | $16.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $19.14 / $44.01
| Facility | | $9.00 | $19.14 | $44.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $14.25 / $21.69
| Professional | | $7.70 | $14.25 | $21.69 |
- 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
- $18.67 / $18.67 / $21.97
| Professional | | $18.67 | $18.67 | $21.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $17.85 / $47.94
| Professional | | $12.88 | $17.85 | $47.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.04 / $18.80 / $137.24
| Facility | | $15.04 | $18.80 | $137.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.86 / $521.94 / $521.94
| Facility | | $31.86 | $521.94 | $521.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.73 / $27.20
| Professional | | $5.25 | $7.73 | $27.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.50 / $15.40 / $28.63
| Facility | | $12.50 | $15.40 | $28.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.36 / $13.29 / $16.30
| Professional | | $11.36 | $13.29 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.73 / $27.20
| Professional | | $5.25 | $7.73 | $27.20 |