- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.92 / $43.04 / $861.78
| Facility | | $21.92 | $43.04 | $861.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.46 / $37.64 / $80.87
| Professional | | $25.46 | $37.64 | $80.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.57 / $34.74 / $103.78
| Professional | | $26.57 | $34.74 | $103.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.47 / $19.47 / $26.54
| Facility | | $19.47 | $19.47 | $26.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.47 / $26.54 / $46.01
| Professional | | $19.47 | $26.54 | $46.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.28 / $533.58 / $629.62
| Facility | | $37.28 | $533.58 | $629.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.24 / $62.71 / $124.73
| Professional | | $24.24 | $62.71 | $124.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.05 / $23.18 / $332.00
| Facility | | $13.05 | $23.18 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.38 / $42.71 / $78.25
| Professional | | $33.38 | $42.71 | $78.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.20 / $20.20 / $20.20
| Facility | | $20.20 | $20.20 | $20.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.43 / $33.70 / $61.93
| Professional | | $25.43 | $33.70 | $61.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.28 / $254.50 / $629.62
| Facility | | $37.28 | $254.50 | $629.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.47 / $59.45 / $146.90
| Professional | | $32.47 | $59.45 | $146.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.75 / $34.89 / $81.23
| Professional | | $24.75 | $34.89 | $81.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.83 / $38.83 / $216.81
| Facility | | $38.83 | $38.83 | $216.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.43 / $41.72 / $78.94
| Professional | | $25.43 | $41.72 | $78.94 |