- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.14 / $36.21 / $734.27
| Facility | | $16.14 | $36.21 | $734.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $36.78 / $53.33
| Professional | | $16.22 | $36.78 | $53.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.02 / $34.74 / $41.91
| Professional | | $17.02 | $34.74 | $41.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.49 / $12.49 / $47.37
| Facility | | $12.49 | $12.49 | $47.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.57 / $24.37 / $42.26
| Professional | | $12.57 | $24.37 | $42.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.72 / $32.68 / $62.28
| Professional | | $18.72 | $32.68 | $62.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.39 / $223.04 / $223.04
| Facility | | $16.39 | $223.04 | $223.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.03 / $43.00 / $53.28
| Professional | | $23.03 | $43.00 | $53.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.22 / $85.69 / $85.69
| Facility | | $80.22 | $85.69 | $85.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.76 / $139.88 / $303.89
| Professional | | $131.76 | $139.88 | $303.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.96 / $34.90 / $53.03
| Facility | | $16.96 | $34.90 | $53.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.71 / $41.12 / $64.62
| Professional | | $19.71 | $41.12 | $64.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.87 / $42.14 / $56.89
| Professional | | $19.87 | $42.14 | $56.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.91 / $35.67 / $53.17
| Facility | | $16.91 | $35.67 | $53.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.46 / $42.10 / $56.00
| Professional | | $24.46 | $42.10 | $56.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.25 / $46.06 / $72.77
| Professional | | $33.25 | $46.06 | $72.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.64 / $36.00 / $48.83
| Professional | | $30.64 | $36.00 | $48.83 |