- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.10 / $36.96 / $258.39
| Facility | | $13.10 | $36.96 | $258.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.10 / $41.01 / $43.74
| Professional | | $13.10 | $41.01 | $43.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.66 / $27.96 / $201.69
| Facility | | $14.66 | $27.96 | $201.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $16.07 / $39.14
| Professional | | $9.64 | $16.07 | $39.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.60 / $45.06 / $78.78
| Facility | | $26.60 | $45.06 | $78.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.11 / $15.11 / $17.60
| Professional | | $15.11 | $15.11 | $17.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.23 / $23.88 / $54.87
| Facility | | $11.23 | $23.88 | $54.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.58 / $15.20 / $27.12
| Professional | | $9.58 | $15.20 | $27.12 |
- 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
- $23.34 / $23.34 / $27.46
| Professional | | $23.34 | $23.34 | $27.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.07 / $22.27 / $57.30
| Professional | | $16.07 | $22.27 | $57.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.64 / $37.83 / $60.48
| Facility | | $18.64 | $37.83 | $60.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.96 / $201.69 / $201.69
| Facility | | $27.96 | $201.69 | $201.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.71 / $9.94 / $29.03
| Professional | | $7.71 | $9.94 | $29.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.71 / $9.94 / $29.03
| Professional | | $7.71 | $9.94 | $29.03 |