- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.52 / $69.83 / $137.63
| Facility | | $24.52 | $69.83 | $137.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.55 / $17.52 / $26.51
| Professional | | $12.55 | $17.52 | $26.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.78 / $26.58 / $95.74
| Facility | | $16.78 | $26.58 | $95.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.59 / $19.30 / $47.04
| Professional | | $11.59 | $19.30 | $47.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.40 / $51.61 / $90.23
| Facility | | $32.40 | $51.61 | $90.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.14 / $18.14 / $23.53
| Professional | | $18.14 | $18.14 | $23.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.50 / $27.75 / $62.87
| Facility | | $13.50 | $27.75 | $62.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.83 / $21.38 / $27.66
| Professional | | $10.83 | $21.38 | $27.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.00 / $28.00 / $32.94
| Professional | | $28.00 | $28.00 | $32.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.30 / $35.14 / $64.11
| Professional | | $19.30 | $35.14 | $64.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.54 / $23.52 / $24.22
| Facility | | $16.54 | $23.52 | $24.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.51 / $95.74 / $95.74
| Facility | | $35.51 | $95.74 | $95.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $12.34 / $38.84
| Professional | | $9.11 | $12.34 | $38.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.73 / $21.96 / $42.95
| Facility | | $18.73 | $21.96 | $42.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.73 / $19.30 / $23.25
| Professional | | $18.73 | $19.30 | $23.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $14.00 / $36.81
| Professional | | $9.11 | $14.00 | $36.81 |