- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.33 / $51.47 / $79.15
| Facility | | $15.33 | $51.47 | $79.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $15.33 / $18.17
| Professional | | $10.02 | $15.33 | $18.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.50 / $124.02 / $8,639.91
| Facility | | $95.50 | $124.02 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.77 / $14.77 / $14.77
| Professional | | $14.77 | $14.77 | $14.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.44 / $25.20 / $63.02
| Facility | | $12.44 | $25.20 | $63.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.96 / $21.89 / $33.01
| Professional | | $11.96 | $21.89 | $33.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $15.14 / $25.63
| Professional | | $8.71 | $15.14 | $25.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.38 / $31.38 / $111.73
| Facility | | $31.38 | $31.38 | $111.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.33 / $51.47 / $82.78
| Facility | | $15.33 | $51.47 | $82.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.63 / $16.09 / $78.18
| Professional | | $13.63 | $16.09 | $78.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.67 / $28.78 / $63.02
| Facility | | $12.67 | $28.78 | $63.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.96 / $21.89 / $33.01
| Professional | | $11.96 | $21.89 | $33.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.93 / $18.93 / $18.93
| Facility | | $18.93 | $18.93 | $18.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.66 / $18.93 / $26.96
| Professional | | $16.66 | $18.93 | $26.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.95 / $11.74 / $34.64
| Professional | | $7.95 | $11.74 | $34.64 |