- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.32 / $62.02 / $108.92
| Facility | | $18.32 | $62.02 | $108.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $35.74
| Professional | | $10.47 | $10.47 | $35.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.41 / $40.86 / $169.77
| Facility | | $26.41 | $40.86 | $169.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.30 / $33.10 / $87.06
| Professional | | $14.30 | $33.10 | $87.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.52 / $78.26 / $141.78
| Facility | | $21.52 | $78.26 | $141.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.06 / $33.60 / $35.38
| Professional | | $14.06 | $33.60 | $35.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.49 / $46.25 / $91.47
| Facility | | $23.49 | $46.25 | $91.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.91 / $40.89 / $54.21
| Professional | | $17.91 | $40.89 | $54.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.73 / $3,472.00 / $9,239.00
| Facility | | $48.73 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.34 / $51.34 / $60.40
| Professional | | $51.34 | $51.34 | $60.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.74 / $40.42 / $115.08
| Professional | | $35.74 | $40.42 | $115.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.59 / $71.04 / $80.91
| Facility | | $64.59 | $71.04 | $80.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.19 / $169.77 / $169.77
| Facility | | $62.19 | $169.77 | $169.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $21.44 / $44.89
| Professional | | $9.22 | $21.44 | $44.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.17 / $35.74 / $42.89
| Facility | | $32.17 | $35.74 | $42.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $21.44 / $44.89
| Professional | | $9.22 | $21.44 | $44.89 |