- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $40.74 / $13,803.84
| Facility | | $16.60 | $40.74 | $13,803.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $15.14 / $20.89
| Professional | | $15.14 | $15.14 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $16.98 / $5,011.87
| Facility | | $14.45 | $16.98 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $16.22
| Professional | | $16.22 | $16.22 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $15.49
| Facility | | $15.49 | $15.49 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $15.49
| Professional | | $15.49 | $15.49 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $15.49
| Facility | | $15.49 | $15.49 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $26.92 / $26.92
| Professional | | $23.44 | $26.92 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $37.15 / $53.70
| Facility | | $22.39 | $37.15 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $40.74 / $13,803.84
| Facility | | $15.85 | $40.74 | $13,803.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $15.85 / $42.66
| Professional | | $15.14 | $15.85 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $17.38 / $18.20
| Facility | | $14.79 | $17.38 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $15.49 / $18.20
| Professional | | $4.90 | $15.49 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $15.49
| Facility | | $15.49 | $15.49 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $21.38
| Professional | | $15.49 | $15.49 | $21.38 |