- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.50 / $48.89 / $197.01
| Facility | | $17.50 | $48.89 | $197.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.37 / $16.66 / $19.13
| Professional | | $16.37 | $16.66 | $19.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.76 / $51.09 / $334.35
| Facility | | $16.76 | $51.09 | $334.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.02 / $18.37 / $44.75
| Professional | | $11.02 | $18.37 | $44.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.40 / $51.61 / $90.23
| Facility | | $32.40 | $51.61 | $90.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.27 / $17.27 / $23.50
| Professional | | $17.27 | $17.27 | $23.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.83 / $27.30 / $62.75
| Facility | | $12.83 | $27.30 | $62.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $20.30 / $31.19
| Professional | | $11.03 | $20.30 | $31.19 |
- 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
- $26.60 / $26.60 / $31.30
| Professional | | $26.60 | $26.60 | $31.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.37 / $25.46 / $68.37
| Professional | | $18.37 | $25.46 | $68.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.71 / $22.37 / $247.00
| Facility | | $21.71 | $22.37 | $247.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.94 / $334.35 / $334.35
| Facility | | $65.94 | $334.35 | $334.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $12.32 / $38.78
| Professional | | $8.82 | $12.32 | $38.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $15.40 / $32.89
| Professional | | $9.11 | $15.40 | $32.89 |