- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.22 / $47.86 / $90.40
| Facility | | $18.22 | $47.86 | $90.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.26 / $18.22 / $32.76
| Professional | | $17.26 | $18.22 | $32.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.46 / $37.01 / $101.03
| Facility | | $17.46 | $37.01 | $101.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $21.27 / $51.81
| Professional | | $9.49 | $21.27 | $51.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.95 / $54.07 / $94.53
| Facility | | $33.95 | $54.07 | $94.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.98 / $19.98 / $24.47
| Professional | | $19.98 | $19.98 | $24.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.86 / $28.88 / $65.39
| Facility | | $14.86 | $28.88 | $65.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.70 / $21.15 / $32.54
| Professional | | $12.70 | $21.15 | $32.54 |
- 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
- $30.80 / $30.80 / $36.24
| Professional | | $30.80 | $30.80 | $36.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.27 / $29.48 / $71.25
| Professional | | $21.27 | $29.48 | $71.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.01 / $101.03 / $101.03
| Facility | | $37.01 | $101.03 | $101.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $12.76 / $40.38
| Professional | | $6.30 | $12.76 | $40.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $12.76 / $40.38
| Professional | | $6.30 | $12.76 | $40.38 |