- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.70 / $60.04 / $152.09
| Facility | | $19.70 | $60.04 | $152.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.53 / $18.70 / $27.05
| Professional | | $17.53 | $18.70 | $27.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.91 / $34.28 / $93.58
| Facility | | $17.91 | $34.28 | $93.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.82 / $19.68 / $47.99
| Professional | | $11.82 | $19.68 | $47.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.41 / $52.96 / $95.95
| Facility | | $22.41 | $52.96 | $95.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.52 / $18.52 / $25.11
| Professional | | $18.52 | $18.52 | $25.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.76 / $29.63 / $67.06
| Facility | | $13.76 | $29.63 | $67.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.56 / $19.43 / $29.94
| Professional | | $11.56 | $19.43 | $29.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.95 / $3,472.00 / $9,239.00
| Facility | | $52.95 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.46 / $28.46 / $33.49
| Professional | | $28.46 | $28.46 | $33.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.70 / $27.30 / $73.06
| Professional | | $19.70 | $27.30 | $73.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.85 / $25.58 / $250.75
| Facility | | $22.85 | $25.58 | $250.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.28 / $93.58 / $93.58
| Facility | | $34.28 | $93.58 | $93.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $11.82 / $41.43
| Professional | | $8.27 | $11.82 | $41.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $11.82 / $73.97
| Professional | | $8.27 | $11.82 | $73.97 |