- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.98 / $41.02 / $83.21
| Facility | | $15.98 | $41.02 | $83.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.60 / $15.98 / $19.12
| Professional | | $14.60 | $15.98 | $19.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.30 / $30.53 / $112.12
| Facility | | $15.30 | $30.53 | $112.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $17.00 / $41.41
| Professional | | $10.19 | $17.00 | $41.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.32 / $46.69 / $81.63
| Facility | | $29.32 | $46.69 | $81.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.98 / $15.98 / $21.46
| Professional | | $15.98 | $15.98 | $21.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.88 / $24.93 / $57.32
| Facility | | $11.88 | $24.93 | $57.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $18.54 / $28.47
| Professional | | $10.19 | $18.54 | $28.47 |
- 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
- $17.00 / $23.56 / $62.44
| Professional | | $17.00 | $23.56 | $62.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.09 / $15.09 / $156.29
| Facility | | $15.09 | $15.09 | $156.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.53 / $112.12 / $112.12
| Facility | | $30.53 | $112.12 | $112.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.16 / $11.25 / $35.42
| Professional | | $8.16 | $11.25 | $35.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.16 / $11.25 / $32.40
| Professional | | $8.16 | $11.25 | $32.40 |