- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.04 / $63.07 / $171.59
| Facility | | $22.04 | $63.07 | $171.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.37 / $20.88 / $26.38
| Professional | | $15.37 | $20.88 | $26.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.12 / $41.13 / $112.29
| Facility | | $21.12 | $41.13 | $112.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.65 / $23.64 / $57.58
| Professional | | $13.65 | $23.64 | $57.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.63 / $64.70 / $113.13
| Facility | | $40.63 | $64.70 | $113.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.22 / $22.22 / $29.60
| Professional | | $22.22 | $22.22 | $29.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.52 / $34.35 / $79.08
| Facility | | $16.52 | $34.35 | $79.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.15 / $25.58 / $39.32
| Professional | | $14.15 | $25.58 | $39.32 |
- 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
- $34.07 / $34.07 / $40.08
| Professional | | $34.07 | $34.07 | $40.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.64 / $32.76 / $86.16
| Professional | | $23.64 | $32.76 | $86.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.81 / $30.16 / $236.50
| Facility | | $20.81 | $30.16 | $236.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.13 / $112.29 / $112.29
| Facility | | $41.13 | $112.29 | $112.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.35 / $14.18 / $48.86
| Professional | | $11.35 | $14.18 | $48.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.35 / $14.18 / $48.86
| Professional | | $11.35 | $14.18 | $48.86 |