- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.81 / $64.37 / $142.19
| Facility | | $22.81 | $64.37 | $142.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.54 / $20.64 / $20.69
| Professional | | $20.54 | $20.64 | $20.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.81 / $39.69 / $172.36
| Facility | | $20.81 | $39.69 | $172.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.69 / $22.81 / $55.56
| Professional | | $13.69 | $22.81 | $55.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.68 / $67.59 / $111.70
| Facility | | $44.68 | $67.59 | $111.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.44 / $21.44 / $27.71
| Professional | | $21.44 | $21.44 | $27.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.93 / $33.89 / $77.97
| Facility | | $15.93 | $33.89 | $77.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.74 / $23.94 / $38.42
| Professional | | $13.74 | $23.94 | $38.42 |
- 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
- $33.14 / $33.14 / $38.99
| Professional | | $33.14 | $33.14 | $38.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.81 / $31.61 / $82.92
| Professional | | $22.81 | $31.61 | $82.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.51 / $27.24 / $50.05
| Facility | | $15.51 | $27.24 | $50.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.69 / $172.36 / $172.36
| Facility | | $39.69 | $172.36 | $172.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.95 / $15.31 / $45.71
| Professional | | $10.95 | $15.31 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.95 / $16.80 / $40.86
| Professional | | $10.95 | $16.80 | $40.86 |