- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.05 / $52.60 / $255.75
| Facility | | $13.05 | $52.60 | $255.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.26 / $13.05 / $13.79
| Professional | | $12.26 | $13.05 | $13.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.43 / $88.54 / $88.54
| Facility | | $32.43 | $88.54 | $88.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $11.18 / $32.61
| Professional | | $7.46 | $11.18 | $32.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.25 / $30.98 / $56.13
| Facility | | $14.25 | $30.98 | $56.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.52 / $17.52 / $18.45
| Professional | | $17.52 | $17.52 | $18.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.24 / $13.03 / $42.42
| Facility | | $12.24 | $13.03 | $42.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $22.72 / $35.03
| Professional | | $10.44 | $22.72 | $35.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.08 / $27.08 / $31.86
| Professional | | $27.08 | $27.08 | $31.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.64 / $24.60 / $53.31
| Professional | | $18.64 | $24.60 | $53.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.65 / $21.65 / $258.58
| Facility | | $21.65 | $21.65 | $258.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.43 / $88.54 / $88.54
| Facility | | $32.43 | $88.54 | $88.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $11.18 / $32.61
| Professional | | $7.46 | $11.18 | $32.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.78 / $18.64 / $22.37
| Facility | | $16.78 | $18.64 | $22.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $11.18 / $27.96
| Professional | | $7.46 | $11.18 | $27.96 |