- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $56.23 / $79.43
| Facility | | $25.12 | $56.23 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $19.95 / $114.82
| Professional | | $10.96 | $19.95 | $114.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $63.10 / $331.13
| Facility | | $21.38 | $63.10 | $331.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $38.02 / $645.65
| Professional | | $14.45 | $38.02 | $645.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.54 / $33.88 / $83.18
| Facility | | $27.54 | $33.88 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.54 / $141.25 / $165.96
| Facility | | $57.54 | $141.25 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $43.65 / $177.83
| Professional | | $23.44 | $43.65 | $177.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $56.23 / $8,511.38
| Facility | | $23.44 | $56.23 | $8,511.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $28.84 / $42.66
| Professional | | $18.62 | $28.84 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $19.50 / $50.12
| Professional | | $11.75 | $19.50 | $50.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $63.10 / $331.13
| Facility | | $21.38 | $63.10 | $331.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $38.02 / $645.65
| Professional | | $14.45 | $38.02 | $645.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.86 / $75.86 / $75.86
| Facility | | $75.86 | $75.86 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $42.66 / $100.00
| Professional | | $18.62 | $42.66 | $100.00 |