- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.27 / $67.01 / $154.86
| Facility | | $24.27 | $67.01 | $154.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.16 / $22.93 / $50.91
| Professional | | $22.16 | $22.93 | $50.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.24 / $44.34 / $121.47
| Facility | | $23.24 | $44.34 | $121.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.29 / $25.48 / $62.06
| Professional | | $15.29 | $25.48 | $62.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.76 / $71.27 / $124.60
| Facility | | $44.76 | $71.27 | $124.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.95 / $23.95 / $32.59
| Professional | | $23.95 | $23.95 | $32.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.80 / $37.86 / $87.03
| Facility | | $17.80 | $37.86 | $87.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.40 / $28.18 / $42.94
| Professional | | $15.40 | $28.18 | $42.94 |
- 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
- $36.86 / $36.86 / $43.38
| Professional | | $36.86 | $36.86 | $43.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.48 / $35.32 / $94.84
| Professional | | $25.48 | $35.32 | $94.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.20 / $33.20 / $55.77
| Facility | | $33.20 | $33.20 | $55.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.34 / $121.47 / $121.47
| Facility | | $44.34 | $121.47 | $121.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $17.09 / $53.78
| Professional | | $12.23 | $17.09 | $53.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $19.68 / $48.57
| Professional | | $12.23 | $19.68 | $48.57 |