- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.81 / $74.30 / $185.09
| Facility | | $25.81 | $74.30 | $185.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.59 / $18.11 / $19.36
| Professional | | $17.59 | $18.11 | $19.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.54 / $35.36 / $129.00
| Facility | | $18.54 | $35.36 | $129.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.19 / $20.32 / $49.50
| Professional | | $12.19 | $20.32 | $49.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.01 / $57.34 / $100.25
| Facility | | $36.01 | $57.34 | $100.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.10 / $19.10 / $25.99
| Professional | | $19.10 | $19.10 | $25.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.20 / $30.21 / $69.41
| Facility | | $14.20 | $30.21 | $69.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.28 / $22.46 / $34.35
| Professional | | $12.28 | $22.46 | $34.35 |
- 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
- $29.40 / $29.40 / $34.59
| Professional | | $29.40 | $29.40 | $34.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.32 / $28.16 / $75.64
| Professional | | $20.32 | $28.16 | $75.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.93 / $43.21 / $122.96
| Facility | | $23.93 | $43.21 | $122.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.36 / $129.00 / $129.00
| Facility | | $35.36 | $129.00 | $129.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.75 / $12.60 / $42.89
| Professional | | $9.75 | $12.60 | $42.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $12.19 / $36.38
| Professional | | $8.13 | $12.19 | $36.38 |