- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.09 / $48.74 / $178.56
| Facility | | $12.09 | $48.74 | $178.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.29 / $12.09 / $12.57
| Professional | | $11.29 | $12.09 | $12.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.05 / $82.03 / $82.03
| Facility | | $30.05 | $82.03 | $82.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $10.36 / $30.22
| Professional | | $6.91 | $10.36 | $30.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.81 / $42.08 / $69.53
| Facility | | $27.81 | $42.08 | $69.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.23 / $16.23 / $17.10
| Professional | | $16.23 | $16.23 | $17.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.34 / $12.07 / $39.31
| Facility | | $11.34 | $12.07 | $39.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $21.06 / $32.01
| Professional | | $9.67 | $21.06 | $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
- $24.74 / $24.74 / $29.10
| Professional | | $24.74 | $24.74 | $29.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.27 / $22.80 / $49.39
| Professional | | $17.27 | $22.80 | $49.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.47 / $78.05 / $191.48
| Facility | | $13.47 | $78.05 | $191.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.05 / $82.03 / $82.03
| Facility | | $30.05 | $82.03 | $82.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $10.36 / $30.22
| Professional | | $6.91 | $10.36 | $30.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $10.36 / $25.91
| Professional | | $6.91 | $10.36 | $25.91 |