- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.02 / $84.70 / $186.00
| Facility | | $31.02 | $84.70 | $186.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.92 / $18.51 / $21.23
| Professional | | $15.92 | $18.51 | $21.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.37 / $36.94 / $101.43
| Facility | | $19.37 | $36.94 | $101.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $21.23 / $51.71
| Professional | | $12.74 | $21.23 | $51.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.54 / $59.80 / $104.55
| Facility | | $37.54 | $59.80 | $104.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.96 / $19.96 / $27.16
| Professional | | $19.96 | $19.96 | $27.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.83 / $31.55 / $72.54
| Facility | | $14.83 | $31.55 | $72.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.70 / $23.48 / $35.71
| Professional | | $12.70 | $23.48 | $35.71 |
- 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
- $21.23 / $29.42 / $79.03
| Professional | | $21.23 | $29.42 | $79.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.63 / $27.66 / $171.68
| Facility | | $24.63 | $27.66 | $171.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.94 / $101.43 / $101.43
| Facility | | $36.94 | $101.43 | $101.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $13.65 / $44.82
| Professional | | $10.19 | $13.65 | $44.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.59 / $25.48 / $47.22
| Facility | | $20.59 | $25.48 | $47.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.72 / $21.89 / $26.85
| Professional | | $18.72 | $21.89 | $26.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.11 / $21.23 / $25.48
| Facility | | $19.11 | $21.23 | $25.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $13.65 / $44.82
| Professional | | $10.19 | $13.65 | $44.82 |