- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.47 / $197.57 / $559.24
| Facility | | $46.47 | $197.57 | $559.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.60 / $19.29 / $31.28
| Professional | | $14.60 | $19.29 | $31.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.40 / $72.73 / $140.78
| Facility | | $27.40 | $72.73 | $140.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $14.34 / $17.80
| Professional | | $5.00 | $14.34 | $17.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.77 / $40.40 / $135.60
| Facility | | $24.77 | $40.40 | $135.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.07 / $116.16 / $116.16
| Facility | | $26.07 | $116.16 | $116.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.22 / $44.47 / $115.50
| Facility | | $18.22 | $44.47 | $115.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.36 / $16.22 / $39.75
| Professional | | $12.36 | $16.22 | $39.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.17 / $127.37 / $127.37
| Facility | | $100.17 | $127.37 | $127.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.28 / $32.19 / $46.60
| Professional | | $22.28 | $32.19 | $46.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.98 / $26.07 / $137.69
| Facility | | $18.98 | $26.07 | $137.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.46 / $26.07 / $26.07
| Professional | | $23.46 | $26.07 | $26.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.93 / $26.07 / $60.09
| Facility | | $18.93 | $26.07 | $60.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.36 / $20.07 / $27.72
| Professional | | $12.36 | $20.07 | $27.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.95 / $11.36 / $16.95
| Professional | | $10.95 | $11.36 | $16.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.17 / $10.43 / $26.07
| Professional | | $10.17 | $10.43 | $26.07 |