- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.55 / $42.12 / $64.80
| Facility | | $12.55 | $42.12 | $64.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.08 / $12.70 / $63.97
| Professional | | $12.08 | $12.70 | $63.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.09 / $101.41 / $8,639.91
| Facility | | $78.09 | $101.41 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.08 / $12.08 / $12.08
| Professional | | $12.08 | $12.08 | $12.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $20.63 / $51.07
| Facility | | $10.18 | $20.63 | $51.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $17.76 / $27.08
| Professional | | $9.77 | $17.76 | $27.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.13 / $12.39 / $20.97
| Professional | | $7.13 | $12.39 | $20.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $133.66 / $133.66 / $133.66
| Facility | | $133.66 | $133.66 | $133.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.17 / $42.12 / $64.80
| Facility | | $13.17 | $42.12 | $64.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.15 / $13.17 / $63.97
| Professional | | $11.15 | $13.17 | $63.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.37 / $23.53 / $51.07
| Facility | | $10.37 | $23.53 | $51.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $17.76 / $27.08
| Professional | | $9.77 | $17.76 | $27.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $15.49
| Facility | | $15.49 | $15.49 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.63 / $15.49 / $22.04
| Professional | | $13.63 | $15.49 | $22.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $9.60 / $28.35
| Professional | | $6.51 | $9.60 | $28.35 |