- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $64.26 / $195.30
| Facility | | $19.55 | $64.26 | $195.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.55 / $25.07 / $25.34
| Professional | | $19.55 | $25.07 | $25.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.64 / $31.94 / $132.72
| Facility | | $20.64 | $31.94 | $132.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $16.76 / $48.90
| Professional | | $11.18 | $16.76 | $48.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.94 / $42.27 / $74.94
| Facility | | $27.94 | $42.27 | $74.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.26 / $26.26 / $27.66
| Professional | | $26.26 | $26.26 | $27.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.98 / $19.52 / $63.56
| Facility | | $17.98 | $19.52 | $63.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.64 / $31.80 / $42.34
| Professional | | $15.64 | $31.80 | $42.34 |
- 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
- $40.13 / $40.13 / $47.22
| Professional | | $40.13 | $40.13 | $47.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.94 / $36.88 / $99.64
| Professional | | $27.94 | $36.88 | $99.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.21 / $95.16 / $108.91
| Facility | | $44.21 | $95.16 | $108.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.62 / $132.72 / $132.72
| Facility | | $48.62 | $132.72 | $132.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $16.76 / $48.90
| Professional | | $11.18 | $16.76 | $48.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $16.76 / $41.91
| Professional | | $11.18 | $16.76 | $41.91 |