- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.96 / $61.97 / $133.46
| Facility | | $21.96 | $61.97 | $133.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.14 / $19.92 / $37.59
| Professional | | $19.14 | $19.92 | $37.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.04 / $45.58 / $122.00
| Facility | | $20.04 | $45.58 | $122.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.54 / $21.96 / $53.49
| Professional | | $10.54 | $21.96 | $53.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.58 / $61.43 / $107.40
| Facility | | $38.58 | $61.43 | $107.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.64 / $20.64 / $28.10
| Professional | | $20.64 | $20.64 | $28.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.34 / $32.61 / $75.03
| Facility | | $15.34 | $32.61 | $75.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.11 / $24.28 / $37.06
| Professional | | $13.11 | $24.28 | $37.06 |
- 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
- $31.74 / $31.74 / $37.34
| Professional | | $31.74 | $31.74 | $37.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.96 / $30.44 / $81.77
| Professional | | $21.96 | $30.44 | $81.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.75 / $27.55 / $125.36
| Facility | | $19.75 | $27.55 | $125.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.58 / $122.00 / $122.00
| Facility | | $45.58 | $122.00 | $122.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $13.18 / $46.37
| Professional | | $8.40 | $13.18 | $46.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $13.18 / $46.37
| Professional | | $8.40 | $13.18 | $46.37 |