- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.80 / $49.81 / $203.03
| Facility | | $16.80 | $49.81 | $203.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.88 / $16.80 / $24.23
| Professional | | $15.88 | $16.80 | $24.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.10 / $49.11 / $179.05
| Facility | | $16.10 | $49.11 | $179.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.47 / $17.64 / $42.99
| Professional | | $8.47 | $17.64 | $42.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.86 / $49.15 / $85.93
| Facility | | $30.86 | $49.15 | $85.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.59 / $16.59 / $22.57
| Professional | | $16.59 | $16.59 | $22.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.33 / $26.21 / $60.30
| Facility | | $12.33 | $26.21 | $60.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.62 / $19.51 / $29.83
| Professional | | $10.62 | $19.51 | $29.83 |
- 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
- $25.68 / $25.68 / $30.21
| Professional | | $25.68 | $25.68 | $30.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.64 / $24.46 / $65.69
| Professional | | $17.64 | $24.46 | $65.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.54 / $22.78 / $190.03
| Facility | | $16.54 | $22.78 | $190.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.09 / $179.05 / $179.05
| Facility | | $80.09 | $179.05 | $179.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $10.59 / $37.25
| Professional | | $8.40 | $10.59 | $37.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $10.59 / $33.64
| Professional | | $8.40 | $10.59 | $33.64 |