- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.16 / $63.00 / $292.02
| Facility | | $19.16 | $63.00 | $292.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.16 / $19.17 / $22.92
| Professional | | $19.16 | $19.17 | $22.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.23 / $47.66 / $130.10
| Facility | | $20.23 | $47.66 | $130.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.43 / $27.39 / $62.41
| Professional | | $16.43 | $27.39 | $62.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.10 / $62.26 / $108.85
| Facility | | $39.10 | $62.26 | $108.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.73 / $25.75 / $27.12
| Professional | | $25.73 | $25.75 | $27.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.07 / $33.46 / $68.72
| Facility | | $19.07 | $33.46 | $68.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.63 / $22.23 / $41.81
| Professional | | $14.63 | $22.23 | $41.81 |
- 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
- $39.67 / $39.67 / $46.67
| Professional | | $39.67 | $39.67 | $46.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.39 / $37.96 / $88.20
| Professional | | $27.39 | $37.96 | $88.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.82 / $34.36 / $130.34
| Facility | | $31.82 | $34.36 | $130.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.66 / $130.10 / $130.10
| Facility | | $47.66 | $130.10 | $130.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $16.43 / $42.45
| Professional | | $10.96 | $16.43 | $42.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $16.85 / $42.45
| Professional | | $11.50 | $16.85 | $42.45 |