- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.01 / $57.66 / $159.54
| Facility | | $27.01 | $57.66 | $159.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.84 / $15.04 / $33.34
| Professional | | $8.84 | $15.04 | $33.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.21 / $29.01 / $138.18
| Facility | | $15.21 | $29.01 | $138.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.00 / $16.67 / $40.60
| Professional | | $8.00 | $16.67 | $40.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.32 / $46.69 / $81.63
| Facility | | $29.32 | $46.69 | $81.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.67 / $15.67 / $21.34
| Professional | | $15.67 | $15.67 | $21.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.65 / $24.78 / $56.98
| Facility | | $11.65 | $24.78 | $56.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.99 / $18.43 / $28.02
| Professional | | $9.99 | $18.43 | $28.02 |
- 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
- $16.67 / $23.10 / $62.04
| Professional | | $16.67 | $23.10 | $62.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.63 / $21.73 / $121.72
| Facility | | $19.63 | $21.73 | $121.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.01 / $138.18 / $138.18
| Facility | | $29.01 | $138.18 | $138.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.38 / $10.00 / $35.21
| Professional | | $4.38 | $10.00 | $35.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.38 / $10.00 / $31.77
| Professional | | $4.38 | $10.00 | $31.77 |