- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.44 / $85.40 / $107.39
| Facility | | $20.44 | $85.40 | $107.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.79 / $19.48 / $51.78
| Professional | | $15.79 | $19.48 | $51.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.21 / $8.21 / $8.21
| Professional | | $8.21 | $8.21 | $8.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.97 / $115.54 / $8,639.91
| Facility | | $88.97 | $115.54 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.77 / $18.77 / $18.77
| Professional | | $18.77 | $18.77 | $18.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.81 / $31.28 / $79.31
| Facility | | $15.81 | $31.28 | $79.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $27.16 / $36.18
| Professional | | $11.03 | $27.16 | $36.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.07 / $19.25 / $32.58
| Professional | | $11.07 | $19.25 | $32.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.36 / $45.72 / $144.61
| Facility | | $37.36 | $45.72 | $144.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.44 / $14.44 / $14.44
| Professional | | $14.44 | $14.44 | $14.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.46 / $82.40 / $109.18
| Facility | | $20.46 | $82.40 | $109.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.79 / $19.73 / $99.37
| Professional | | $15.79 | $19.73 | $99.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.11 / $32.04 / $79.31
| Facility | | $16.11 | $32.04 | $79.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $27.16 / $34.59
| Professional | | $11.03 | $27.16 | $34.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.06 / $24.06 / $24.06
| Facility | | $24.06 | $24.06 | $24.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.17 / $24.06 / $25.11
| Professional | | $21.17 | $24.06 | $25.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $14.79 / $43.68
| Professional | | $10.11 | $14.79 | $43.68 |