- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $83.18 / $223.87
| Facility | | $36.31 | $83.18 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $23.99 / $120.23
| Professional | | $17.38 | $23.99 | $120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $38.02 / $128.82
| Facility | | $24.55 | $38.02 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $26.92 / $56.23
| Professional | | $15.85 | $26.92 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.48 / $66.07 / $104.71
| Facility | | $52.48 | $66.07 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $25.12 / $33.88
| Professional | | $25.12 | $25.12 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.89 / $42.66 / $102.33
| Facility | | $20.89 | $42.66 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $32.36 / $45.71
| Professional | | $19.50 | $32.36 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $3,630.78 / $9,772.37
| Facility | | $26.92 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.90 / $38.90 / $45.71
| Professional | | $38.90 | $38.90 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $26.92 / $81.28
| Professional | | $26.92 | $26.92 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $34.67 / $75.86
| Facility | | $23.99 | $34.67 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $38.02 / $128.82
| Facility | | $24.55 | $38.02 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $26.92 / $56.23
| Professional | | $15.85 | $26.92 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $26.92 / $44.67
| Facility | | $15.49 | $26.92 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $22.39 / $64.57
| Professional | | $13.18 | $22.39 | $64.57 |