- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.34 / $55.15 / $104.17
| Facility | | $23.34 | $55.15 | $104.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.36 / $22.21 / $27.93
| Professional | | $21.36 | $22.21 | $27.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.36 / $42.65 / $116.76
| Facility | | $22.36 | $42.65 | $116.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.76 / $24.51 / $59.70
| Professional | | $11.76 | $24.51 | $59.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.21 / $68.81 / $120.30
| Facility | | $43.21 | $68.81 | $120.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.04 / $23.04 / $31.34
| Professional | | $23.04 | $23.04 | $31.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.13 / $36.38 / $83.71
| Facility | | $17.13 | $36.38 | $83.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.78 / $27.09 / $41.58
| Professional | | $14.78 | $27.09 | $41.58 |
- 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
- $35.47 / $35.47 / $41.73
| Professional | | $35.47 | $35.47 | $41.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.51 / $33.97 / $91.22
| Professional | | $24.51 | $33.97 | $91.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.94 / $31.94 / $31.94
| Facility | | $31.94 | $31.94 | $31.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.65 / $116.76 / $116.76
| Facility | | $42.65 | $116.76 | $116.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $14.71 / $51.72
| Professional | | $10.50 | $14.71 | $51.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $14.71 / $51.72
| Professional | | $10.50 | $14.71 | $51.72 |