- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.21 / $61.37 / $124.10
| Facility | | $25.21 | $61.37 | $124.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.88 / $14.00 / $16.41
| Professional | | $11.88 | $14.00 | $16.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.65 / $32.31 / $124.96
| Facility | | $14.65 | $32.31 | $124.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.71 / $16.05 / $39.11
| Professional | | $7.71 | $16.05 | $39.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.30 / $45.06 / $78.78
| Facility | | $28.30 | $45.06 | $78.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.10 / $15.10 / $20.55
| Professional | | $15.10 | $15.10 | $20.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $23.88 / $54.87
| Facility | | $11.22 | $23.88 | $54.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.58 / $17.76 / $27.12
| Professional | | $9.58 | $17.76 | $27.12 |
- 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
- $23.34 / $23.34 / $27.46
| Professional | | $23.34 | $23.34 | $27.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.05 / $22.26 / $59.76
| Professional | | $16.05 | $22.26 | $59.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.57 / $20.93 / $148.96
| Facility | | $17.57 | $20.93 | $148.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.31 / $124.96 / $124.96
| Facility | | $32.31 | $124.96 | $124.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $9.64 / $33.92
| Professional | | $3.15 | $9.64 | $33.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.16 / $16.55 / $20.30
| Professional | | $14.16 | $16.55 | $20.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $9.64 / $30.61
| Professional | | $3.15 | $9.64 | $30.61 |