- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.93 / $45.40 / $121.86
| Facility | | $18.93 | $45.40 | $121.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.18 / $15.18 / $21.36
| Professional | | $10.18 | $15.18 | $21.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.39 / $33.63 / $168.67
| Facility | | $15.39 | $33.63 | $168.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.96 / $16.87 / $35.22
| Professional | | $8.96 | $16.87 | $35.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.69 / $45.84 / $83.05
| Facility | | $20.69 | $45.84 | $83.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.67 / $15.86 / $668.49
| Professional | | $13.67 | $15.86 | $668.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.79 / $25.05 / $57.63
| Facility | | $11.79 | $25.05 | $57.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $15.64 / $28.47
| Professional | | $10.19 | $15.64 | $28.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.89 / $3,472.00 / $9,239.00
| Facility | | $48.89 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.28 / $24.28 / $28.56
| Professional | | $24.28 | $24.28 | $28.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.87 / $23.38 / $60.16
| Professional | | $16.87 | $23.38 | $60.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.92 / $19.86 / $184.45
| Facility | | $13.92 | $19.86 | $184.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.63 / $168.67 / $168.67
| Facility | | $33.63 | $168.67 | $168.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $10.11 / $28.28
| Professional | | $8.10 | $10.11 | $28.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.18 / $16.87 / $20.23
| Facility | | $15.18 | $16.87 | $20.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $10.11 / $28.28
| Professional | | $8.10 | $10.11 | $28.28 |