- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.73 / $80.44 / $401.60
| Facility | | $24.73 | $80.44 | $401.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.26 / $13.30 / $25.26
| Professional | | $12.26 | $13.30 | $25.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.59 / $32.02 / $105.37
| Facility | | $13.59 | $32.02 | $105.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.36 / $18.39 / $41.93
| Professional | | $7.36 | $18.39 | $41.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.23 / $41.77 / $73.03
| Facility | | $26.23 | $41.77 | $73.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.29 / $17.30 / $18.22
| Professional | | $17.29 | $17.30 | $18.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.82 / $22.48 / $46.16
| Facility | | $12.82 | $22.48 | $46.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $14.94 / $27.88
| Professional | | $9.94 | $14.94 | $27.88 |
- 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
- $26.60 / $26.60 / $31.30
| Professional | | $26.60 | $26.60 | $31.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.39 / $25.50 / $59.25
| Professional | | $18.39 | $25.50 | $59.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.60 / $22.41 / $134.30
| Facility | | $17.60 | $22.41 | $134.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.02 / $105.37 / $105.37
| Facility | | $32.02 | $105.37 | $105.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $11.04 / $28.52
| Professional | | $7.35 | $11.04 | $28.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $11.04 / $32.20
| Professional | | $7.35 | $11.04 | $32.20 |