- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.01 / $20.81 / $381.69
| Facility | | $13.01 | $20.81 | $381.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.63 / $19.29 / $25.72
| Professional | | $12.63 | $19.29 | $25.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.47 / $32.47 / $80.34
| Facility | | $22.47 | $32.47 | $80.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.98 / $13.98 / $13.98
| Professional | | $13.98 | $13.98 | $13.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.32 / $24.20 / $29.38
| Professional | | $18.32 | $24.20 | $29.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,234.56 / $1,234.56 / $1,234.56
| Facility | | $1,234.56 | $1,234.56 | $1,234.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.64 / $17.64 / $34.43
| Facility | | $17.64 | $17.64 | $34.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $15.00 / $15.00
| Professional | | $15.00 | $15.00 | $15.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.64 / $138.01 / $139.56
| Facility | | $59.64 | $138.01 | $139.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $146.31 / $146.31 / $220.35
| Professional | | $146.31 | $146.31 | $220.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.29 / $23.12 / $36.72
| Facility | | $19.29 | $23.12 | $36.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.97 / $27.91 / $29.38
| Professional | | $24.97 | $27.91 | $29.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.90 / $31.47 / $57.90
| Professional | | $10.90 | $31.47 | $57.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $23.12 / $37.75
| Facility | | $19.55 | $23.12 | $37.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $15.00 / $24.42
| Professional | | $15.00 | $15.00 | $24.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.38 / $13.55 / $17.87
| Professional | | $10.38 | $13.55 | $17.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.03 / $29.38 / $39.65
| Professional | | $13.03 | $29.38 | $39.65 |