- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.40 / $96.36 / $206.24
| Facility | | $30.40 | $96.36 | $206.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.14 / $19.18 / $20.95
| Professional | | $17.14 | $19.18 | $20.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.05 / $41.60 / $124.10
| Facility | | $20.05 | $41.60 | $124.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.19 / $21.99 / $53.56
| Professional | | $13.19 | $21.99 | $53.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.58 / $61.43 / $107.40
| Facility | | $38.58 | $61.43 | $107.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.67 / $20.67 / $28.13
| Professional | | $20.67 | $20.67 | $28.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.36 / $32.65 / $75.18
| Facility | | $15.36 | $32.65 | $75.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.32 / $24.32 / $37.06
| Professional | | $13.32 | $24.32 | $37.06 |
- 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
- $31.74 / $31.74 / $37.34
| Professional | | $31.74 | $31.74 | $37.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.99 / $30.48 / $81.87
| Professional | | $21.99 | $30.48 | $81.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.08 / $28.66 / $150.80
| Facility | | $24.08 | $28.66 | $150.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.60 / $124.10 / $124.10
| Facility | | $41.60 | $124.10 | $124.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $14.75 / $46.43
| Professional | | $10.56 | $14.75 | $46.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.48 / $24.28 / $33.11
| Facility | | $22.48 | $24.28 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.39 / $22.69 / $27.83
| Professional | | $19.39 | $22.69 | $27.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $18.44 / $41.91
| Professional | | $10.56 | $18.44 | $41.91 |