- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.08 / $71.31 / $198.91
| Facility | | $31.08 | $71.31 | $198.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.98 / $22.57 / $22.91
| Professional | | $21.98 | $22.57 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.05 / $45.14 / $120.82
| Facility | | $23.05 | $45.14 | $120.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.16 / $25.27 / $61.55
| Professional | | $15.16 | $25.27 | $61.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.76 / $71.27 / $124.60
| Facility | | $44.76 | $71.27 | $124.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.75 / $23.75 / $32.33
| Professional | | $23.75 | $23.75 | $32.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.66 / $37.52 / $86.35
| Facility | | $17.66 | $37.52 | $86.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.20 / $27.94 / $42.94
| Professional | | $15.20 | $27.94 | $42.94 |
- 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
- $36.40 / $36.40 / $42.83
| Professional | | $36.40 | $36.40 | $42.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.27 / $35.02 / $94.07
| Professional | | $25.27 | $35.02 | $94.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.05 / $32.94 / $102.68
| Facility | | $29.05 | $32.94 | $102.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.14 / $120.82 / $120.82
| Facility | | $45.14 | $120.82 | $120.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.13 / $16.95 / $53.34
| Professional | | $12.13 | $16.95 | $53.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.13 / $16.95 / $53.34
| Professional | | $12.13 | $16.95 | $53.34 |