- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.78 / $57.13 / $286.52
| Facility | | $9.78 | $57.13 | $286.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.14 / $40.35 / $54.98
| Professional | | $33.14 | $40.35 | $54.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.36 / $8,639.91 / $79,506.39
| Facility | | $39.36 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.64 / $40.10 / $63.36
| Professional | | $38.64 | $40.10 | $63.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.11 / $45.11 / $45.11
| Facility | | $45.11 | $45.11 | $45.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.98 / $50.11 / $79.37
| Professional | | $30.98 | $50.11 | $79.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.37 / $55.01 / $69.40
| Professional | | $45.37 | $55.01 | $69.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.03 / $58.50 / $152.78
| Facility | | $35.03 | $58.50 | $152.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.72 / $41.87 / $71.43
| Professional | | $34.72 | $41.87 | $71.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.90 / $54.85 / $81.62
| Professional | | $26.90 | $54.85 | $81.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.11 / $45.11 / $45.11
| Facility | | $45.11 | $45.11 | $45.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.15 / $50.11 / $79.37
| Professional | | $32.15 | $50.11 | $79.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.68 / $38.68 / $43.30
| Facility | | $38.68 | $38.68 | $43.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.15 / $38.68 / $43.30
| Professional | | $38.15 | $38.68 | $43.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.53 / $41.53 / $41.53
| Facility | | $41.53 | $41.53 | $41.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.18 / $45.06 / $76.89
| Professional | | $31.18 | $45.06 | $76.89 |