- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.34 / $53.26 / $95.13
| Facility | | $19.34 | $53.26 | $95.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.84 / $19.34 / $31.24
| Professional | | $16.84 | $19.34 | $31.24 |
- 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
- $17.73 / $17.73 / $17.73
| Professional | | $17.73 | $17.73 | $17.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.59 / $33.38 / $74.98
| Facility | | $21.59 | $33.38 | $74.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.82 / $21.72 / $48.32
| Professional | | $11.82 | $21.72 | $48.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.54 / $30.71 / $43.23
| Professional | | $13.54 | $30.71 | $43.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.98 / $45.97 / $53.31
| Facility | | $29.98 | $45.97 | $53.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.75 / $57.33 / $95.13
| Facility | | $22.75 | $57.33 | $95.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.05 / $24.88 / $93.96
| Professional | | $17.05 | $24.88 | $93.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.34 / $31.00 / $45.50
| Professional | | $19.34 | $31.00 | $45.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.04 / $37.86 / $74.98
| Facility | | $22.04 | $37.86 | $74.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.58 / $23.69 / $48.32
| Professional | | $12.58 | $23.69 | $48.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.75 / $22.75 / $22.75
| Facility | | $22.75 | $22.75 | $22.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.75 / $22.75 / $23.21
| Professional | | $22.75 | $22.75 | $23.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.48 / $27.30 / $27.30
| Facility | | $20.48 | $27.30 | $27.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.56 / $13.65 / $41.63
| Professional | | $9.56 | $13.65 | $41.63 |