- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.67 / $57.70 / $136.22
| Facility | | $15.67 | $57.70 | $136.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.34 / $15.67 / $18.76
| Professional | | $15.34 | $15.67 | $18.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.44 / $48.68 / $319.45
| Facility | | $17.44 | $48.68 | $319.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $23.00 / $51.10
| Professional | | $13.80 | $23.00 | $51.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.61 / $53.24 / $93.08
| Facility | | $32.61 | $53.24 | $93.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $22.18 / $23.36
| Professional | | $21.05 | $22.18 | $23.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.63 / $28.84 / $56.21
| Facility | | $15.63 | $28.84 | $56.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.92 / $18.20 / $36.14
| Professional | | $11.92 | $18.20 | $36.14 |
- 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
- $34.07 / $34.07 / $40.08
| Professional | | $34.07 | $34.07 | $40.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.60 / $32.71 / $75.98
| Professional | | $23.60 | $32.71 | $75.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.44 / $21.44 / $389.48
| Facility | | $21.44 | $21.44 | $389.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.68 / $319.45 / $319.45
| Facility | | $48.68 | $319.45 | $319.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $14.16 / $34.74
| Professional | | $9.44 | $14.16 | $34.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.91 / $14.16 / $29.48
| Professional | | $9.91 | $14.16 | $29.48 |