- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.01 / $85.67 / $246.48
| Facility | | $34.01 | $85.67 | $246.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.76 / $17.66 / $18.70
| Professional | | $12.76 | $17.66 | $18.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.91 / $54.60 / $93.24
| Facility | | $17.91 | $54.60 | $93.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.78 / $19.63 / $47.81
| Professional | | $11.78 | $19.63 | $47.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.38 / $58.07 / $95.95
| Facility | | $38.38 | $58.07 | $95.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.45 / $18.45 / $20.50
| Professional | | $18.45 | $18.45 | $20.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.72 / $30.61 / $75.79
| Facility | | $13.72 | $30.61 | $75.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.86 / $22.72 / $98.10
| Professional | | $11.86 | $22.72 | $98.10 |
- 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
- $28.46 / $28.46 / $33.49
| Professional | | $28.46 | $28.46 | $33.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.63 / $27.21 / $73.06
| Professional | | $19.63 | $27.21 | $73.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.11 / $25.58 / $252.78
| Facility | | $23.11 | $25.58 | $252.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.24 / $93.24 / $107.14
| Facility | | $93.24 | $93.24 | $107.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $11.78 / $41.43
| Professional | | $8.83 | $11.78 | $41.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.30 / $20.23 / $24.82
| Professional | | $17.30 | $20.23 | $24.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.42 / $12.60 / $35.14
| Professional | | $9.42 | $12.60 | $35.14 |