- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.66 / $67.98 / $258.74
| Facility | | $27.66 | $67.98 | $258.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.19 / $25.04 / $27.80
| Professional | | $24.19 | $25.04 | $27.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.37 / $48.37 / $133.26
| Facility | | $25.37 | $48.37 | $133.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.68 / $27.80 / $67.72
| Professional | | $16.68 | $27.80 | $67.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.87 / $77.81 / $136.05
| Facility | | $48.87 | $77.81 | $136.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.13 / $26.13 / $35.57
| Professional | | $26.13 | $26.13 | $35.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.42 / $41.29 / $94.99
| Facility | | $19.42 | $41.29 | $94.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.64 / $30.74 / $47.00
| Professional | | $16.64 | $30.74 | $47.00 |
- 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
- $40.13 / $40.13 / $47.22
| Professional | | $40.13 | $40.13 | $47.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.80 / $38.53 / $103.48
| Professional | | $27.80 | $38.53 | $103.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.00 / $34.01 / $174.61
| Facility | | $25.00 | $34.01 | $174.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.37 / $133.26 / $133.26
| Facility | | $48.37 | $133.26 | $133.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.34 / $18.64 / $58.70
| Professional | | $13.34 | $18.64 | $58.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.52 / $28.67 / $35.15
| Professional | | $24.52 | $28.67 | $35.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.78 / $23.31 / $110.24
| Professional | | $13.78 | $23.31 | $110.24 |