- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.37 / $46.75 / $99.12
| Facility | | $25.37 | $46.75 | $99.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.82 / $13.28 / $20.37
| Professional | | $11.82 | $13.28 | $20.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.68 / $36.18 / $87.97
| Facility | | $13.68 | $36.18 | $87.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $18.52 / $45.11
| Professional | | $8.89 | $18.52 | $45.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.21 / $44.19 / $73.03
| Facility | | $29.21 | $44.19 | $73.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.41 / $17.41 / $17.96
| Professional | | $17.41 | $17.41 | $17.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.18 / $23.97 / $52.50
| Facility | | $12.18 | $23.97 | $52.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.10 / $21.06 / $28.40
| Professional | | $9.10 | $21.06 | $28.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.45 / $3,472.00 / $9,239.00
| Facility | | $52.45 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.60 / $26.60 / $31.30
| Professional | | $26.60 | $26.60 | $31.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.52 / $25.67 / $59.63
| Professional | | $18.52 | $25.67 | $59.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.54 / $21.51 / $125.28
| Facility | | $12.54 | $21.51 | $125.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.97 / $87.97 / $292.19
| Facility | | $87.97 | $87.97 | $292.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.56 / $11.11 / $27.07
| Professional | | $5.56 | $11.11 | $27.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.31 / $18.89 / $41.19
| Facility | | $12.31 | $18.89 | $41.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.74 / $11.11 / $23.97
| Professional | | $6.74 | $11.11 | $23.97 |