- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.82 / $89.11 / $373.68
| Facility | | $19.82 | $89.11 | $373.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $14.68 / $43.53
| Professional | | $10.60 | $14.68 | $43.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $9.77 / $16.30
| Professional | | $4.40 | $9.77 | $16.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.93 / $50.69 / $95.06
| Facility | | $17.93 | $50.69 | $95.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.64 / $14.51
| Professional | | $5.00 | $8.64 | $14.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $26.08 / $100.01
| Facility | | $15.49 | $26.08 | $100.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $15.66 / $26.08
| Professional | | $12.23 | $15.66 | $26.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.30 / $16.30 / $16.30
| Facility | | $16.30 | $16.30 | $16.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.39 / $35.83 / $81.96
| Facility | | $11.39 | $35.83 | $81.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $13.67 / $27.35
| Professional | | $9.19 | $13.67 | $27.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.23 / $86.76 / $100.00
| Facility | | $68.23 | $86.76 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.52 / $23.62 / $26.84
| Professional | | $14.52 | $23.62 | $26.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.04 / $16.30 / $36.00
| Facility | | $13.04 | $16.30 | $36.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.86 / $16.30 / $26.93
| Professional | | $13.86 | $16.30 | $26.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.67 / $150.08 / $1,286.77
| Facility | | $109.67 | $150.08 | $1,286.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.04 / $16.30 / $40.63
| Facility | | $13.04 | $16.30 | $40.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.64 / $16.02 / $26.91
| Professional | | $8.64 | $16.02 | $26.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.85 / $9.33 / $16.30
| Professional | | $6.85 | $9.33 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $8.05 / $16.30
| Professional | | $6.36 | $8.05 | $16.30 |