- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.01 / $44.72 / $102.09
| Facility | | $16.01 | $44.72 | $102.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.01 / $16.01 / $19.14
| Professional | | $15.01 | $16.01 | $19.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.33 / $36.29 / $106.93
| Facility | | $15.33 | $36.29 | $106.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.08 / $16.80 / $40.92
| Professional | | $10.08 | $16.80 | $40.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.83 / $47.50 / $83.05
| Facility | | $29.83 | $47.50 | $83.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.79 / $15.79 / $21.50
| Professional | | $15.79 | $15.79 | $21.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.74 / $24.94 / $57.44
| Facility | | $11.74 | $24.94 | $57.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $18.57 / $28.47
| Professional | | $10.19 | $18.57 | $28.47 |
- 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
- $24.28 / $24.28 / $28.56
| Professional | | $24.28 | $24.28 | $28.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $23.28 / $62.54
| Professional | | $16.80 | $23.28 | $62.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.10 / $15.10 / $260.00
| Facility | | $15.10 | $15.10 | $260.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.29 / $106.93 / $106.93
| Facility | | $36.29 | $106.93 | $106.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $11.27 / $35.46
| Professional | | $8.06 | $11.27 | $35.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $11.27 / $30.08
| Professional | | $6.72 | $11.27 | $30.08 |