- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.76 / $84.48 / $259.02
| Facility | | $20.76 | $84.48 | $259.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.24 / $16.00 / $17.05
| Professional | | $13.24 | $16.00 | $17.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.32 / $49.80 / $158.28
| Facility | | $16.32 | $49.80 | $158.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $17.89 / $43.60
| Professional | | $10.74 | $17.89 | $43.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.38 / $49.96 / $87.35
| Facility | | $31.38 | $49.96 | $87.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.82 / $16.82 / $22.91
| Professional | | $16.82 | $16.82 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.51 / $26.61 / $61.18
| Facility | | $12.51 | $26.61 | $61.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $19.80 / $30.28
| Professional | | $10.82 | $19.80 | $30.28 |
- 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
- $17.89 / $24.81 / $66.63
| Professional | | $17.89 | $24.81 | $66.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.08 / $23.33 / $91.41
| Facility | | $21.08 | $23.33 | $91.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.74 / $158.28 / $158.28
| Facility | | $86.74 | $158.28 | $158.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $12.01 / $37.79
| Professional | | $8.59 | $12.01 | $37.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.88 / $15.01 / $32.06
| Professional | | $8.88 | $15.01 | $32.06 |