- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $53.70 / $89.13
| Facility | | $21.88 | $53.70 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $15.85 / $91.20
| Professional | | $7.94 | $15.85 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.86 / $63.10 / $5,011.87
| Facility | | $47.86 | $63.10 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $15.85 / $15.85
| Professional | | $15.85 | $15.85 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $29.51 / $60.26
| Facility | | $13.18 | $29.51 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $15.49 / $29.51
| Professional | | $5.62 | $15.49 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $11.48 / $29.51
| Professional | | $9.55 | $11.48 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $20.42
| Facility | | $20.42 | $20.42 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $14.45 / $35.48
| Professional | | $9.33 | $14.45 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $51.29 / $85.11
| Facility | | $16.98 | $51.29 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $13.49 / $13.49
| Professional | | $13.49 | $13.49 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $52.48 / $89.13
| Facility | | $21.88 | $52.48 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $16.98 / $85.11
| Professional | | $10.23 | $16.98 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $20.42
| Facility | | $10.72 | $10.72 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $12.88 / $20.89
| Professional | | $10.72 | $12.88 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $20.42 / $24.55
| Facility | | $10.23 | $20.42 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $12.30 / $25.70
| Professional | | $6.31 | $12.30 | $25.70 |