- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.21 / $68.04 / $224.64
| Facility | | $17.21 | $68.04 | $224.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.73 / $16.07 / $32.15
| Professional | | $15.73 | $16.07 | $32.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.80 / $41.95 / $188.00
| Facility | | $17.80 | $41.95 | $188.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $24.11 / $56.04
| Professional | | $10.50 | $24.11 | $56.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.47 / $54.88 / $95.95
| Facility | | $34.47 | $54.88 | $95.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.66 / $22.66 / $23.87
| Professional | | $22.66 | $22.66 | $23.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.85 / $29.46 / $61.68
| Facility | | $16.85 | $29.46 | $61.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.19 / $19.97 / $36.65
| Professional | | $13.19 | $19.97 | $36.65 |
- 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
- $35.01 / $35.01 / $41.18
| Professional | | $35.01 | $35.01 | $41.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.11 / $33.42 / $77.63
| Professional | | $24.11 | $33.42 | $77.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.23 / $25.55 / $107.52
| Facility | | $16.23 | $25.55 | $107.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.95 / $188.00 / $188.00
| Facility | | $41.95 | $188.00 | $188.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $14.47 / $38.11
| Professional | | $9.64 | $14.47 | $38.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.37 / $25.80 / $39.29
| Facility | | $19.37 | $25.80 | $39.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.13 / $14.47 / $32.33
| Professional | | $10.13 | $14.47 | $32.33 |