- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.69 / $52.22 / $97.31
| Facility | | $18.69 | $52.22 | $97.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.70 / $18.69 / $39.20
| Professional | | $17.70 | $18.69 | $39.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.89 / $44.49 / $121.46
| Facility | | $18.89 | $44.49 | $121.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.34 / $25.57 / $60.89
| Professional | | $15.34 | $25.57 | $60.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.67 / $61.53 / $101.68
| Facility | | $40.67 | $61.53 | $101.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.04 / $24.04 / $25.31
| Professional | | $24.04 | $24.04 | $25.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.87 / $31.25 / $67.03
| Facility | | $17.87 | $31.25 | $67.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.27 / $29.05 / $38.72
| Professional | | $14.27 | $29.05 | $38.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.47 / $83.43 / $6,679.00
| Facility | | $28.47 | $83.43 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.08 / $33.69 / $43.38
| Professional | | $26.08 | $33.69 | $43.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.57 / $35.44 / $82.34
| Professional | | $25.57 | $35.44 | $82.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.49 / $121.46 / $121.46
| Facility | | $44.49 | $121.46 | $121.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $15.34 / $41.42
| Professional | | $10.23 | $15.34 | $41.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $15.34 / $41.42
| Professional | | $10.74 | $15.34 | $41.42 |