- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $37.28 / $154.35
| Facility | | $17.78 | $37.28 | $154.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.21 / $15.08 / $30.04
| Professional | | $11.21 | $15.08 | $30.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $10.11 / $10.11
| Professional | | $10.11 | $10.11 | $10.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.46 / $40.64 / $293.00
| Facility | | $18.46 | $40.64 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $13.27 / $38.79
| Professional | | $8.32 | $13.27 | $38.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.64 / $86.00 / $216.57
| Facility | | $43.64 | $86.00 | $216.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $14.92 / $58.22
| Professional | | $10.44 | $14.92 | $58.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.66 / $22.12 / $56.39
| Facility | | $11.66 | $22.12 | $56.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $20.07 / $25.81
| Professional | | $11.03 | $20.07 | $25.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.98 / $16.85 / $26.96
| Professional | | $14.98 | $16.85 | $26.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.48 / $16.85 / $37.59
| Professional | | $13.48 | $16.85 | $37.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.28 / $80.19 / $80.19
| Facility | | $41.28 | $80.19 | $80.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $10.11 / $10.11
| Professional | | $10.11 | $10.11 | $10.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.17 / $18.54 / $42.71
| Facility | | $15.17 | $18.54 | $42.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.13 / $16.85 / $33.70
| Professional | | $11.13 | $16.85 | $33.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.14 / $59.14 / $59.14
| Professional | | $59.14 | $59.14 | $59.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.48 / $15.28 / $20.97
| Professional | | $13.48 | $15.28 | $20.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.02 / $32.56
| Professional | | $7.08 | $10.02 | $32.56 |