- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.04 / $85.46 / $343.70
| Facility | | $33.04 | $85.46 | $343.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.71 / $17.54 / $34.82
| Professional | | $15.71 | $17.54 | $34.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.80 / $41.92 / $114.43
| Facility | | $17.80 | $41.92 | $114.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.60 / $24.09 / $56.04
| Professional | | $12.60 | $24.09 | $56.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.47 / $54.88 / $95.95
| Facility | | $34.47 | $54.88 | $95.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.64 / $22.64 / $23.85
| Professional | | $22.64 | $22.64 | $23.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.82 / $29.44 / $61.68
| Facility | | $16.82 | $29.44 | $61.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.19 / $26.50 / $36.65
| Professional | | $13.19 | $26.50 | $36.65 |
- 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
- $34.54 / $34.54 / $40.64
| Professional | | $34.54 | $34.54 | $40.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.09 / $33.39 / $77.56
| Professional | | $24.09 | $33.39 | $77.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.94 / $41.74 / $254.68
| Facility | | $19.94 | $41.74 | $254.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.92 / $114.43 / $114.43
| Facility | | $41.92 | $114.43 | $114.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $14.45 / $38.11
| Professional | | $9.64 | $14.45 | $38.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.45 / $21.24 / $26.07
| Professional | | $18.45 | $21.24 | $26.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $14.45 / $38.11
| Professional | | $10.11 | $14.45 | $38.11 |