- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.62 / $68.45 / $88.04
| Facility | | $16.62 | $68.45 | $88.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.04 / $22.61 / $119.42
| Professional | | $16.04 | $22.61 | $119.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.61 / $128.05 / $8,639.91
| Facility | | $98.61 | $128.05 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.26 / $15.26 / $15.26
| Professional | | $15.26 | $15.26 | $15.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.86 / $26.04 / $65.20
| Facility | | $12.86 | $26.04 | $65.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.27 / $22.30 / $34.27
| Professional | | $12.27 | $22.30 | $34.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $11.54 / $26.48
| Professional | | $6.83 | $11.54 | $26.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.70 / $40.76 / $68.67
| Facility | | $6.70 | $40.76 | $68.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $11.74 / $15.37
| Professional | | $11.74 | $11.74 | $15.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.62 / $53.19 / $157.56
| Facility | | $16.62 | $53.19 | $157.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.13 / $17.73 / $80.78
| Professional | | $15.13 | $17.73 | $80.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.09 / $29.72 / $65.20
| Facility | | $13.09 | $29.72 | $65.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.27 / $22.30 / $34.27
| Professional | | $12.27 | $22.30 | $34.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $19.55 / $19.55
| Facility | | $19.55 | $19.55 | $19.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.96 / $19.55 / $19.55
| Professional | | $6.96 | $19.55 | $19.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.60 / $23.47 / $23.47
| Facility | | $17.60 | $23.47 | $23.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.80 / $12.96 / $34.03
| Professional | | $8.80 | $12.96 | $34.03 |