- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $95.50 / $380.19
| Facility | | $33.11 | $95.50 | $380.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $61.66 / $89.13
| Professional | | $8.91 | $61.66 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.10 / $218.78 / $416.87
| Facility | | $63.10 | $218.78 | $416.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $44.67 / $77.62
| Professional | | $5.01 | $44.67 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $81.28 / $81.28
| Facility | | $9.33 | $81.28 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $52.48 / $331.13
| Facility | | $10.47 | $52.48 | $331.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $7.24 / $117.49
| Professional | | $5.50 | $7.24 | $117.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $380.19 / $380.19
| Facility | | $380.19 | $380.19 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.67 / $75.86 / $141.25
| Facility | | $44.67 | $75.86 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $64.57 / $85.11
| Professional | | $11.22 | $64.57 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.26 / $67.61 / $67.61
| Professional | | $60.26 | $67.61 | $67.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $75.86 / $181.97
| Facility | | $12.59 | $75.86 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $12.30 / $97.72
| Professional | | $5.50 | $12.30 | $97.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $28.84 / $81.28
| Facility | | $5.89 | $28.84 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $12.02 / $47.86
| Professional | | $5.01 | $12.02 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $31.62 / $81.28
| Professional | | $31.62 | $31.62 | $81.28 |