- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.57 / $66.76 / $274.32
| Facility | | $17.57 | $66.76 | $274.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.88 / $12.15 / $13.84
| Professional | | $11.88 | $12.15 | $13.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.62 / $24.08 / $212.16
| Facility | | $12.62 | $24.08 | $212.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.30 / $13.84 / $33.71
| Professional | | $8.30 | $13.84 | $33.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $40.72 / $67.30
| Facility | | $26.92 | $40.72 | $67.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.01 / $13.01 / $16.32
| Professional | | $13.01 | $13.01 | $16.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.67 / $20.52 / $47.26
| Facility | | $9.67 | $20.52 | $47.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $14.10 / $23.50
| Professional | | $8.33 | $14.10 | $23.50 |
- 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
- $20.07 / $20.07 / $23.62
| Professional | | $20.07 | $20.07 | $23.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.84 / $19.18 / $49.49
| Professional | | $13.84 | $19.18 | $49.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.98 / $16.86 / $35.69
| Facility | | $15.98 | $16.86 | $35.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.08 / $212.16 / $212.16
| Facility | | $24.08 | $212.16 | $212.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.64 / $9.27 / $26.91
| Professional | | $6.64 | $9.27 | $26.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.46 / $13.84 / $16.61
| Facility | | $12.46 | $13.84 | $16.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $9.27 / $24.76
| Professional | | $5.54 | $9.27 | $24.76 |