- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.32 / $72.05 / $187.70
| Facility | | $24.32 | $72.05 | $187.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $22.25 / $24.32
| Professional | | $21.38 | $22.25 | $24.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.29 / $44.42 / $169.40
| Facility | | $23.29 | $44.42 | $169.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.25 / $25.53 / $62.19
| Professional | | $12.25 | $25.53 | $62.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.76 / $71.27 / $124.60
| Facility | | $44.76 | $71.27 | $124.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.00 / $24.00 / $32.65
| Professional | | $24.00 | $24.00 | $32.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.84 / $37.90 / $87.26
| Facility | | $17.84 | $37.90 | $87.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.40 / $28.22 / $43.39
| Professional | | $15.40 | $28.22 | $43.39 |
- 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
- $36.86 / $36.86 / $43.38
| Professional | | $36.86 | $36.86 | $43.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.53 / $35.38 / $95.04
| Professional | | $25.53 | $35.38 | $95.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.96 / $33.27 / $143.49
| Facility | | $22.96 | $33.27 | $143.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.42 / $169.40 / $169.40
| Facility | | $44.42 | $169.40 | $169.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.55 / $15.32 / $53.90
| Professional | | $11.55 | $15.32 | $53.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $15.32 / $45.70
| Professional | | $10.72 | $15.32 | $45.70 |