- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.68 / $51.15 / $90.02
| Facility | | $17.68 | $51.15 | $90.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.68 / $21.61 / $26.60
| Professional | | $17.68 | $21.61 | $26.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.05 / $42.07 / $115.59
| Facility | | $22.05 | $42.07 | $115.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.51 / $24.18 / $57.58
| Professional | | $14.51 | $24.18 | $57.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.99 / $68.00 / $118.88
| Facility | | $33.99 | $68.00 | $118.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.73 / $22.73 / $23.94
| Professional | | $22.73 | $22.73 | $23.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.89 / $35.95 / $82.64
| Facility | | $16.89 | $35.95 | $82.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.57 / $19.16 / $40.68
| Professional | | $14.57 | $19.16 | $40.68 |
- 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
- $35.01 / $35.01 / $41.18
| Professional | | $35.01 | $35.01 | $41.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.18 / $33.51 / $86.25
| Professional | | $24.18 | $33.51 | $86.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.74 / $27.80 / $28.47
| Facility | | $21.74 | $27.80 | $28.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.07 / $115.59 / $115.59
| Facility | | $42.07 | $115.59 | $115.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $14.70 / $40.54
| Professional | | $11.61 | $14.70 | $40.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $14.70 / $46.09
| Professional | | $11.61 | $14.70 | $46.09 |