- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.70 / $61.24 / $131.72
| Facility | | $21.70 | $61.24 | $131.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.88 / $19.37 / $19.67
| Professional | | $18.88 | $19.37 | $19.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.79 / $38.94 / $122.00
| Facility | | $19.79 | $38.94 | $122.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.02 / $21.70 / $52.86
| Professional | | $13.02 | $21.70 | $52.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.07 / $60.62 / $105.98
| Facility | | $38.07 | $60.62 | $105.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.39 / $20.39 / $27.76
| Professional | | $20.39 | $20.39 | $27.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.16 / $32.22 / $74.11
| Facility | | $15.16 | $32.22 | $74.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.11 / $23.98 / $36.61
| Professional | | $13.11 | $23.98 | $36.61 |
- 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
- $31.27 / $31.27 / $36.78
| Professional | | $31.27 | $31.27 | $36.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.70 / $30.08 / $80.77
| Professional | | $21.70 | $30.08 | $80.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.17 / $28.27 / $82.53
| Facility | | $25.17 | $28.27 | $82.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.94 / $122.00 / $122.00
| Facility | | $38.94 | $122.00 | $122.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.42 / $14.54 / $45.80
| Professional | | $10.42 | $14.54 | $45.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $16.80 / $45.80
| Professional | | $9.11 | $16.80 | $45.80 |