- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.18 / $89.48 / $197.65
| Facility | | $18.18 | $89.48 | $197.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.18 / $31.56 / $32.03
| Professional | | $18.18 | $31.56 | $32.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.22 / $60.79 / $214.00
| Facility | | $32.22 | $60.79 | $214.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.01 / $31.16 / $73.78
| Professional | | $16.01 | $31.16 | $73.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.31 / $104.87 / $173.28
| Facility | | $69.31 | $104.87 | $173.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.41 / $33.21 / $34.97
| Professional | | $24.41 | $33.21 | $34.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.22 / $51.54 / $120.72
| Facility | | $23.22 | $51.54 | $120.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.11 / $32.79 / $59.66
| Professional | | $21.11 | $32.79 | $59.66 |
- 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
- $50.88 / $50.88 / $59.86
| Professional | | $50.88 | $50.88 | $59.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.33 / $48.97 / $126.02
| Professional | | $35.33 | $48.97 | $126.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.87 / $40.98 / $81.95
| Facility | | $24.87 | $40.98 | $81.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.47 / $214.00 / $214.00
| Facility | | $61.47 | $214.00 | $214.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.65 / $21.20 / $59.24
| Professional | | $13.65 | $21.20 | $59.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.65 / $21.20 / $59.24
| Professional | | $13.65 | $21.20 | $59.24 |