- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $51.70 / $150.88
| Facility | | $18.05 | $51.70 | $150.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.51 / $16.37 / $23.58
| Professional | | $15.51 | $16.37 | $23.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.46 / $38.94 / $137.69
| Facility | | $16.46 | $38.94 | $137.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $18.05 / $43.97
| Professional | | $9.44 | $18.05 | $43.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.90 / $50.79 / $88.80
| Facility | | $31.90 | $50.79 | $88.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.97 / $16.97 / $23.10
| Professional | | $16.97 | $16.97 | $23.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.61 / $26.81 / $61.68
| Facility | | $12.61 | $26.81 | $61.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $19.96 / $30.73
| Professional | | $10.82 | $19.96 | $30.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.74 / $3,472.00 / $9,239.00
| Facility | | $33.74 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.14 / $26.14 / $30.75
| Professional | | $26.14 | $26.14 | $30.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.05 / $25.02 / $67.20
| Professional | | $18.05 | $25.02 | $67.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.07 / $21.26 / $23.62
| Facility | | $17.07 | $21.26 | $23.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.94 / $137.69 / $137.69
| Facility | | $38.94 | $137.69 | $137.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.66 / $10.83 / $38.10
| Professional | | $8.66 | $10.83 | $38.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $15.14 / $43.03
| Professional | | $9.44 | $15.14 | $43.03 |