- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.82 / $64.97 / $108.59
| Facility | | $23.82 | $64.97 | $108.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.55 / $23.82 / $42.78
| Professional | | $22.55 | $23.82 | $42.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.81 / $44.46 / $121.36
| Facility | | $22.81 | $44.46 | $121.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.60 / $25.55 / $62.23
| Professional | | $12.60 | $25.55 | $62.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.24 / $70.44 / $123.15
| Facility | | $44.24 | $70.44 | $123.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.02 / $24.02 / $31.99
| Professional | | $24.02 | $24.02 | $31.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.85 / $37.14 / $85.43
| Facility | | $17.85 | $37.14 | $85.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.40 / $27.66 / $42.49
| Professional | | $15.40 | $27.66 | $42.49 |
- 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
- $25.55 / $35.40 / $93.06
| Professional | | $25.55 | $35.40 | $93.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.48 / $22.48 / $32.59
| Facility | | $22.48 | $22.48 | $32.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.46 / $121.36 / $121.36
| Facility | | $44.46 | $121.36 | $121.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.26 / $15.33 / $52.79
| Professional | | $12.26 | $15.33 | $52.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.26 / $15.33 / $48.70
| Professional | | $12.26 | $15.33 | $48.70 |