- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.23 / $56.91 / $83.86
| Facility | | $16.23 | $56.91 | $83.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.64 / $17.47 / $23.42
| Professional | | $15.64 | $17.47 | $23.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101.10 / $134.72 / $8,459.92
| Facility | | $101.10 | $134.72 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.64 / $15.64 / $19.85
| Professional | | $15.64 | $15.64 | $19.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.17 / $27.37 / $66.28
| Facility | | $13.17 | $27.37 | $66.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $22.57 / $45.18
| Professional | | $12.00 | $22.57 | $45.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $21.05 / $33.88
| Professional | | $9.22 | $21.05 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.65 / $64.97 / $164.03
| Facility | | $45.65 | $64.97 | $164.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.73 / $54.89 / $83.86
| Facility | | $18.73 | $54.89 | $83.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.44 / $18.17 / $82.81
| Professional | | $14.44 | $18.17 | $82.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.60 / $30.07 / $40.10
| Professional | | $22.60 | $30.07 | $40.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.42 / $31.04 / $66.28
| Facility | | $13.42 | $31.04 | $66.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.58 / $22.57 / $45.18
| Professional | | $12.58 | $22.57 | $45.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.05 / $20.05 / $20.05
| Facility | | $20.05 | $20.05 | $20.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.64 / $20.05 / $28.54
| Professional | | $17.64 | $20.05 | $28.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.77 / $11.77 / $11.77
| Facility | | $11.77 | $11.77 | $11.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.42 / $12.03 / $36.69
| Professional | | $8.42 | $12.03 | $36.69 |