- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.34 / $262.32 / $902.52
| Facility | | $39.34 | $262.32 | $902.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.39 / $8.91 / $23.17
| Professional | | $7.39 | $8.91 | $23.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $6.34 / $8.44
| Professional | | $4.86 | $6.34 | $8.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.57 / $25.47 / $293.00
| Facility | | $11.57 | $25.47 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.99 / $8.33 / $24.52
| Professional | | $5.99 | $8.33 | $24.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.35 / $73.84 / $135.88
| Facility | | $27.35 | $73.84 | $135.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.55 / $9.35 / $20.68
| Professional | | $6.55 | $9.35 | $20.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.32 / $13.86 / $36.46
| Facility | | $7.32 | $13.86 | $36.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.96 / $12.76 / $17.66
| Professional | | $6.96 | $12.76 | $17.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $10.56 / $16.89
| Professional | | $9.19 | $10.56 | $16.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $10.57 / $20.59
| Professional | | $8.44 | $10.57 | $20.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.03 / $91.74 / $100.00
| Facility | | $73.03 | $91.74 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.50 / $14.59 / $21.13
| Professional | | $9.50 | $14.59 | $21.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.15 / $12.34 / $31.27
| Facility | | $8.15 | $12.34 | $31.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $10.61 / $21.12
| Professional | | $7.00 | $10.61 | $21.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.06 / $37.06 / $37.06
| Professional | | $37.06 | $37.06 | $37.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $10.56 / $14.78
| Professional | | $8.44 | $10.56 | $14.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.44 / $6.34 / $20.56
| Professional | | $4.44 | $6.34 | $20.56 |