- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.07 / $56.33 / $157.26
| Facility | | $20.07 | $56.33 | $157.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.14 / $25.24 / $26.08
| Professional | | $13.14 | $25.24 | $26.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.74 / $41.85 / $146.16
| Facility | | $13.74 | $41.85 | $146.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $15.05 / $36.65
| Professional | | $9.02 | $15.05 | $36.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.75 / $42.60 / $74.48
| Facility | | $26.75 | $42.60 | $74.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.15 / $14.15 / $19.26
| Professional | | $14.15 | $14.15 | $19.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.52 / $22.34 / $51.47
| Facility | | $10.52 | $22.34 | $51.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $16.64 / $25.31
| Professional | | $8.94 | $16.64 | $25.31 |
- 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
- $21.94 / $21.94 / $25.81
| Professional | | $21.94 | $21.94 | $25.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.05 / $20.86 / $56.05
| Professional | | $15.05 | $20.86 | $56.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.62 / $66.41 / $132.76
| Facility | | $19.62 | $66.41 | $132.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.37 / $146.16 / $146.16
| Facility | | $43.37 | $146.16 | $146.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $9.44 / $31.79
| Professional | | $7.22 | $9.44 | $31.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.27 / $15.53 / $19.05
| Professional | | $13.27 | $15.53 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.77 / $9.44 / $31.79
| Professional | | $6.77 | $9.44 | $31.79 |