- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.07 / $55.38 / $102.21
| Facility | | $20.07 | $55.38 | $102.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.00 / $20.07 / $36.04
| Professional | | $19.00 | $20.07 | $36.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.22 / $36.65 / $196.00
| Facility | | $19.22 | $36.65 | $196.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.44 / $21.07 / $51.32
| Professional | | $12.44 | $21.07 | $51.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.03 / $58.97 / $103.10
| Facility | | $37.03 | $58.97 | $103.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.80 / $19.80 / $26.95
| Professional | | $19.80 | $19.80 | $26.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.72 / $31.28 / $71.97
| Facility | | $14.72 | $31.28 | $71.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.70 / $23.29 / $35.71
| Professional | | $12.70 | $23.29 | $35.71 |
- 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
- $30.34 / $30.34 / $35.70
| Professional | | $30.34 | $30.34 | $35.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.07 / $29.20 / $78.42
| Professional | | $21.07 | $29.20 | $78.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.11 / $46.11 / $615.82
| Facility | | $46.11 | $46.11 | $615.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.65 / $196.00 / $196.00
| Facility | | $36.65 | $196.00 | $196.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $12.64 / $44.46
| Professional | | $10.11 | $12.64 | $44.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $17.66 / $52.44
| Professional | | $10.44 | $17.66 | $52.44 |