- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.61 / $96.00 / $347.84
| Facility | | $32.61 | $96.00 | $347.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.29 / $31.07 / $55.81
| Professional | | $17.29 | $31.07 | $55.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.75 / $61.07 / $226.44
| Facility | | $29.75 | $61.07 | $226.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.64 / $32.61 / $93.94
| Professional | | $17.64 | $32.61 | $93.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.62 / $91.75 / $160.40
| Facility | | $57.62 | $91.75 | $160.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.66 / $30.66 / $41.73
| Professional | | $30.66 | $30.66 | $41.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.79 / $49.22 / $110.25
| Facility | | $22.79 | $49.22 | $110.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.57 / $37.58 / $91.75
| Professional | | $19.57 | $37.58 | $91.75 |
- 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
- $47.14 / $47.14 / $55.46
| Professional | | $47.14 | $47.14 | $55.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.61 / $45.21 / $121.40
| Professional | | $32.61 | $45.21 | $121.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.37 / $405.90 / $942.59
| Facility | | $75.37 | $405.90 | $942.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.07 / $226.44 / $226.44
| Facility | | $61.07 | $226.44 | $226.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.66 / $19.57 / $68.84
| Professional | | $15.66 | $19.57 | $68.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.68 / $19.57 / $62.18
| Professional | | $14.68 | $19.57 | $62.18 |