- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.02 / $83.09 / $210.99
| Facility | | $34.02 | $83.09 | $210.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.41 / $24.23 / $27.89
| Professional | | $17.41 | $24.23 | $27.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.44 / $50.01 / $128.00
| Facility | | $24.44 | $50.01 | $128.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.75 / $26.79 / $65.26
| Professional | | $15.75 | $26.79 | $65.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.32 / $75.36 / $131.75
| Facility | | $47.32 | $75.36 | $131.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.18 / $25.18 / $34.26
| Professional | | $25.18 | $25.18 | $34.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.72 / $39.76 / $91.51
| Facility | | $18.72 | $39.76 | $91.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.03 / $29.61 / $45.20
| Professional | | $16.03 | $29.61 | $45.20 |
- 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
- $38.75 / $38.75 / $45.58
| Professional | | $38.75 | $38.75 | $45.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.79 / $37.13 / $99.73
| Professional | | $26.79 | $37.13 | $99.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.08 / $32.63 / $73.05
| Facility | | $24.08 | $32.63 | $73.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.01 / $128.00 / $128.00
| Facility | | $50.01 | $128.00 | $128.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.86 / $16.07 / $56.54
| Professional | | $12.86 | $16.07 | $56.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.86 / $16.07 / $51.06
| Professional | | $12.86 | $16.07 | $51.06 |