- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.47 / $56.50 / $104.24
| Facility | | $20.47 | $56.50 | $104.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.38 / $20.47 / $36.76
| Professional | | $19.38 | $20.47 | $36.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.59 / $37.38 / $138.00
| Facility | | $19.59 | $37.38 | $138.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.31 / $21.48 / $52.32
| Professional | | $10.31 | $21.48 | $52.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.07 / $60.62 / $105.98
| Facility | | $38.07 | $60.62 | $105.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.19 / $20.19 / $27.49
| Professional | | $20.19 | $20.19 | $27.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.01 / $31.92 / $73.38
| Facility | | $15.01 | $31.92 | $73.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.91 / $23.75 / $36.15
| Professional | | $12.91 | $23.75 | $36.15 |
- 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
- $30.80 / $30.80 / $36.24
| Professional | | $30.80 | $30.80 | $36.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.48 / $29.77 / $79.95
| Professional | | $21.48 | $29.77 | $79.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $403.20 / $403.20 / $403.20
| Facility | | $403.20 | $403.20 | $403.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.38 / $138.00 / $138.00
| Facility | | $37.38 | $138.00 | $138.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $12.89 / $45.35
| Professional | | $3.15 | $12.89 | $45.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.67 / $12.89 / $14.76
| Facility | | $9.67 | $12.89 | $14.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $12.89 / $45.35
| Professional | | $6.44 | $12.89 | $45.35 |