- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $22.91 / $50.12
| Facility | | $16.60 | $22.91 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $16.98 / $33.11
| Professional | | $16.98 | $16.98 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $17.38
| Professional | | $17.38 | $17.38 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.88 / $33.88 / $35.48
| Facility | | $33.88 | $33.88 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $33.88 / $33.88
| Professional | | $33.88 | $33.88 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $85.11
| Facility | | $16.22 | $16.22 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $107.15
| Professional | | $17.38 | $17.38 | $107.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $21.88 / $61.66
| Facility | | $16.98 | $21.88 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $19.50 / $33.11
| Professional | | $19.50 | $19.50 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $18.20 / $19.05
| Facility | | $18.20 | $18.20 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $18.20 / $19.05
| Professional | | $18.20 | $18.20 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.15 / $37.15 / $37.15
| Facility | | $37.15 | $37.15 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $50,118.72 / $75,857.76
| Facility | | $22.39 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $17.38 / $28.18
| Professional | | $16.22 | $17.38 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $18.20 / $21.88
| Facility | | $18.20 | $18.20 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $19.05 / $29.51
| Professional | | $18.20 | $19.05 | $29.51 |