- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.85 / $84.53 / $148.55
| Facility | | $21.85 | $84.53 | $148.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.69 / $21.85 / $26.15
| Professional | | $20.69 | $21.85 | $26.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.80 / $53.70 / $146.59
| Facility | | $22.80 | $53.70 | $146.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.81 / $30.86 / $75.17
| Professional | | $14.81 | $30.86 | $75.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.24 / $70.44 / $123.15
| Facility | | $44.24 | $70.44 | $123.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.01 / $29.01 / $30.55
| Professional | | $29.01 | $29.01 | $30.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.28 / $39.94 / $88.58
| Facility | | $20.28 | $39.94 | $88.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.03 / $35.52 / $46.98
| Professional | | $16.03 | $35.52 | $46.98 |
- 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
- $44.34 / $44.34 / $52.16
| Professional | | $44.34 | $44.34 | $52.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.86 / $42.77 / $99.37
| Professional | | $30.86 | $42.77 | $99.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.51 / $32.70 / $107.54
| Facility | | $21.51 | $32.70 | $107.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.70 / $146.59 / $146.59
| Facility | | $53.70 | $146.59 | $146.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.26 / $18.52 / $54.69
| Professional | | $9.26 | $18.52 | $54.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.38 / $18.52 / $48.44
| Professional | | $11.38 | $18.52 | $48.44 |