- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.12 / $48.31 / $137.69
| Facility | | $17.12 | $48.31 | $137.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.35 / $14.93 / $16.32
| Professional | | $13.35 | $14.93 | $16.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.62 / $29.79 / $81.39
| Facility | | $15.62 | $29.79 | $81.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.22 / $17.12 / $41.70
| Professional | | $8.22 | $17.12 | $41.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.35 / $48.33 / $84.50
| Facility | | $30.35 | $48.33 | $84.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.09 / $16.09 / $21.91
| Professional | | $16.09 | $16.09 | $21.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.97 / $25.44 / $58.55
| Facility | | $11.97 | $25.44 | $58.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $18.94 / $28.93
| Professional | | $10.19 | $18.94 | $28.93 |
- 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
- $17.12 / $23.73 / $63.75
| Professional | | $17.12 | $23.73 | $63.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.41 / $22.11 / $38.39
| Facility | | $15.41 | $22.11 | $38.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.79 / $81.39 / $81.39
| Facility | | $29.79 | $81.39 | $81.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $10.27 / $36.17
| Professional | | $6.30 | $10.27 | $36.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $10.27 / $36.17
| Professional | | $6.30 | $10.27 | $36.17 |