- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.36 / $240.20 / $716.03
| Facility | | $37.36 | $240.20 | $716.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $8.92 / $12.47
| Professional | | $7.48 | $8.92 | $12.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.99 / $7.48 / $12.47
| Professional | | $5.99 | $7.48 | $12.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.47 / $37.40 / $67.59
| Facility | | $13.47 | $37.40 | $67.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.86 / $9.98
| Professional | | $5.00 | $6.86 | $9.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $18.71 / $256.80
| Facility | | $11.22 | $18.71 | $256.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $12.89 / $19.95
| Professional | | $9.35 | $12.89 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.47 / $54.72 / $54.72
| Facility | | $12.47 | $54.72 | $54.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $22.79 / $55.86
| Facility | | $8.71 | $22.79 | $55.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.39 / $8.73 / $20.46
| Professional | | $6.39 | $8.73 | $20.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.23 / $91.84 / $91.84
| Facility | | $72.23 | $91.84 | $91.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.73 / $15.83 / $22.44
| Professional | | $10.73 | $15.83 | $22.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.48 / $13.37 / $356.75
| Facility | | $9.48 | $13.37 | $356.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $12.47 / $15.20
| Professional | | $11.22 | $12.47 | $15.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.22 / $1,282.30 / $2,838.00
| Facility | | $660.22 | $1,282.30 | $2,838.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.08 / $12.47 / $28.83
| Facility | | $9.08 | $12.47 | $28.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $9.75 / $20.46
| Professional | | $6.44 | $9.75 | $20.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.24 / $5.78 / $10.32
| Professional | | $5.24 | $5.78 | $10.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $4.99 / $12.47
| Professional | | $4.86 | $4.99 | $12.47 |