- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.94 / $49.52 / $91.37
| Facility | | $17.94 | $49.52 | $91.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $17.94 / $32.25
| Professional | | $16.98 | $17.94 | $32.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.18 / $42.93 / $118.61
| Facility | | $17.18 | $42.93 | $118.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.56 / $20.94 / $51.01
| Professional | | $12.56 | $20.94 | $51.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.43 / $53.24 / $93.08
| Facility | | $33.43 | $53.24 | $93.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.68 / $19.68 / $24.09
| Professional | | $19.68 | $19.68 | $24.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.63 / $28.41 / $64.36
| Facility | | $14.63 | $28.41 | $64.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.70 / $20.82 / $32.01
| Professional | | $12.70 | $20.82 | $32.01 |
- 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
- $20.94 / $29.02 / $70.15
| Professional | | $20.94 | $29.02 | $70.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.93 / $118.61 / $118.61
| Facility | | $42.93 | $118.61 | $118.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $12.60 / $39.75
| Professional | | $9.33 | $12.60 | $39.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $12.60 / $33.71
| Professional | | $9.33 | $12.60 | $33.71 |