- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.42 / $102.75 / $249.27
| Facility | | $35.42 | $102.75 | $249.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.45 / $18.43 / $38.67
| Professional | | $17.45 | $18.43 | $38.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.26 / $45.36 / $127.37
| Facility | | $19.26 | $45.36 | $127.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.60 / $26.07 / $60.05
| Professional | | $12.60 | $26.07 | $60.05 |
- 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
- $24.51 / $24.51 / $25.81
| Professional | | $24.51 | $24.51 | $25.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.22 / $31.87 / $66.12
| Facility | | $18.22 | $31.87 | $66.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.09 / $21.39 / $39.75
| Professional | | $14.09 | $21.39 | $39.75 |
- 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
- $37.81 / $37.81 / $44.48
| Professional | | $37.81 | $37.81 | $44.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.07 / $36.13 / $83.95
| Professional | | $26.07 | $36.13 | $83.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.68 / $38.82 / $132.47
| Facility | | $25.68 | $38.82 | $132.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.36 / $127.37 / $127.37
| Facility | | $45.36 | $127.37 | $127.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.43 / $15.64 / $40.83
| Professional | | $10.43 | $15.64 | $40.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.95 / $28.03 / $44.14
| Facility | | $20.95 | $28.03 | $44.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.95 / $15.64 / $36.13
| Professional | | $10.95 | $15.64 | $36.13 |