- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $37.15 / $1,412.54
| Facility | | $17.38 | $37.15 | $1,412.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $40.74 / $676.08
| Professional | | $16.98 | $40.74 | $676.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $34.67 / $47.86
| Professional | | $18.20 | $34.67 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $38.02 / $74.13
| Professional | | $35.48 | $38.02 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $29.51 / $29.51
| Facility | | $29.51 | $29.51 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $43.65 / $57.54
| Professional | | $22.91 | $43.65 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $52.48 / $77.62
| Professional | | $38.02 | $52.48 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $19.50 / $20.89
| Facility | | $19.50 | $19.50 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.30 / $39.81 / $75.86
| Professional | | $26.30 | $39.81 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $40.74 / $40.74
| Facility | | $40.74 | $40.74 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $40.74 / $48.98
| Professional | | $37.15 | $40.74 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $37.15 / $83.18
| Facility | | $17.38 | $37.15 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $40.74 / $120.23
| Professional | | $17.78 | $40.74 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $43.65 / $54.95
| Professional | | $36.31 | $43.65 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.90 / $46.77 / $56.23
| Professional | | $38.90 | $46.77 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $31.62 / $75.86
| Professional | | $8.71 | $31.62 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $38.90 / $64.57
| Professional | | $17.78 | $38.90 | $64.57 |