- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.61 / $102.30 / $289.38
| Facility | | $26.61 | $102.30 | $289.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.35 / $20.50 / $21.85
| Professional | | $18.35 | $20.50 | $21.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.92 / $63.81 / $156.18
| Facility | | $20.92 | $63.81 | $156.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.01 / $22.94 / $55.88
| Professional | | $11.01 | $22.94 | $55.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.63 / $64.70 / $113.13
| Facility | | $40.63 | $64.70 | $113.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.56 / $21.56 / $29.35
| Professional | | $21.56 | $21.56 | $29.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.03 / $34.11 / $78.39
| Facility | | $16.03 | $34.11 | $78.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.74 / $25.38 / $38.86
| Professional | | $13.74 | $25.38 | $38.86 |
- 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
- $33.14 / $33.14 / $38.99
| Professional | | $33.14 | $33.14 | $38.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.94 / $31.79 / $85.39
| Professional | | $22.94 | $31.79 | $85.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.11 / $29.90 / $96.61
| Facility | | $25.11 | $29.90 | $96.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.81 / $156.18 / $156.18
| Facility | | $66.81 | $156.18 | $156.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $13.76 / $48.44
| Professional | | $10.50 | $13.76 | $48.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.32 / $13.76 / $43.73
| Professional | | $10.32 | $13.76 | $43.73 |