- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.32 / $53.40 / $129.97
| Facility | | $14.32 | $53.40 | $129.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.61 / $14.32 / $29.38
| Professional | | $13.61 | $14.32 | $29.38 |
- 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
- $84.97 / $110.33 / $8,639.91
| Facility | | $84.97 | $110.33 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.14 / $13.14 / $13.14
| Professional | | $13.14 | $13.14 | $13.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.07 / $22.43 / $55.42
| Facility | | $11.07 | $22.43 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $19.41 / $29.62
| Professional | | $10.56 | $19.41 | $29.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.75 / $9.94 / $22.81
| Professional | | $7.75 | $9.94 | $22.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.00 / $44.78 / $85.79
| Facility | | $23.00 | $44.78 | $85.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $10.11 / $16.00
| Professional | | $10.11 | $10.11 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.32 / $45.82 / $128.16
| Facility | | $14.32 | $45.82 | $128.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.64 / $14.16 / $69.59
| Professional | | $12.64 | $14.16 | $69.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.28 / $25.59 / $55.42
| Facility | | $11.28 | $25.59 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $19.41 / $29.62
| Professional | | $10.56 | $19.41 | $29.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.85 / $16.85 / $16.85
| Facility | | $16.85 | $16.85 | $16.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.83 / $16.85 / $21.89
| Professional | | $14.83 | $16.85 | $21.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.78 / $29.52
| Professional | | $7.08 | $10.78 | $29.52 |