- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $95.50 / $251.19
| Facility | | $39.81 | $95.50 | $251.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $26.30 / $131.83
| Professional | | $21.88 | $26.30 | $131.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $41.69 / $141.25
| Facility | | $26.92 | $41.69 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $29.51 / $61.66
| Professional | | $17.38 | $29.51 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.54 / $70.79 / $114.82
| Facility | | $57.54 | $70.79 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $27.54 / $37.15
| Professional | | $27.54 | $27.54 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $46.77 / $112.20
| Facility | | $22.91 | $46.77 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $35.48 / $50.12
| Professional | | $21.38 | $35.48 | $50.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $3,630.78 / $9,772.37
| Facility | | $28.84 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.66 / $42.66 / $50.12
| Professional | | $42.66 | $42.66 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.51 / $29.51 / $89.13
| Professional | | $29.51 | $29.51 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $38.02 / $74.13
| Facility | | $26.30 | $38.02 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $41.69 / $141.25
| Facility | | $26.92 | $41.69 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $29.51 / $61.66
| Professional | | $17.38 | $29.51 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $29.51 / $48.98
| Facility | | $16.60 | $29.51 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $26.30 / $69.18
| Professional | | $14.45 | $26.30 | $69.18 |