- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.49 / $52.63 / $120.96
| Facility | | $22.49 | $52.63 | $120.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.71 / $23.71 / $26.60
| Professional | | $23.71 | $23.71 | $26.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.76 / $30.05 / $82.03
| Facility | | $12.76 | $30.05 | $82.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.36 / $17.27 / $42.07
| Professional | | $10.36 | $17.27 | $42.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.81 / $42.08 / $69.53
| Facility | | $27.81 | $42.08 | $69.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.12 / $12.07 / $39.31
| Facility | | $11.12 | $12.07 | $39.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.58 / $19.82 / $26.33
| Professional | | $9.58 | $19.82 | $26.33 |
- 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
- $24.74 / $24.74 / $29.10
| Professional | | $24.74 | $24.74 | $29.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.27 / $22.80 / $50.42
| Professional | | $17.27 | $22.80 | $50.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.00 / $64.86 / $189.96
| Facility | | $21.00 | $64.86 | $189.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.05 / $82.03 / $82.03
| Facility | | $30.05 | $82.03 | $82.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $10.36 / $30.22
| Professional | | $6.91 | $10.36 | $30.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.04 / $18.20 / $28.15
| Facility | | $14.04 | $18.20 | $28.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $10.36 / $25.91
| Professional | | $6.91 | $10.36 | $25.91 |