- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.06 / $51.06 / $150.40
| Facility | | $25.06 | $51.06 | $150.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.20 / $13.38 / $23.86
| Professional | | $12.20 | $13.38 | $23.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.77 / $32.43 / $104.01
| Facility | | $13.77 | $32.43 | $104.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $18.64 / $46.65
| Professional | | $11.18 | $18.64 | $46.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.75 / $42.60 / $74.48
| Facility | | $26.75 | $42.60 | $74.48 |
- 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
- $12.99 / $22.79 / $46.81
| Facility | | $12.99 | $22.79 | $46.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $15.14 / $28.40
| Professional | | $9.94 | $15.14 | $28.40 |
- 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 / $25.84 / $60.02
| Professional | | $18.64 | $25.84 | $60.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.85 / $21.65 / $207.27
| Facility | | $17.85 | $21.65 | $207.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.43 / $104.01 / $104.01
| Facility | | $32.43 | $104.01 | $104.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $11.18 / $40.39
| Professional | | $7.46 | $11.18 | $40.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $11.18 / $32.61
| Professional | | $7.83 | $11.18 | $32.61 |