- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.27 / $82.83 / $200.45
| Facility | | $37.27 | $82.83 | $200.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.20 / $26.47 / $32.29
| Professional | | $25.20 | $26.47 | $32.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.77 / $51.07 / $215.25
| Facility | | $26.77 | $51.07 | $215.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.61 / $29.35 / $71.48
| Professional | | $17.61 | $29.35 | $71.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.38 / $45.96 / $81.48
| Facility | | $30.38 | $45.96 | $81.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.59 / $27.59 / $37.54
| Professional | | $27.59 | $27.59 | $37.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.50 / $45.78 / $100.27
| Facility | | $20.50 | $45.78 | $100.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.57 / $33.86 / $83.93
| Professional | | $22.57 | $33.86 | $83.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.93 / $83.43 / $6,679.00
| Facility | | $34.93 | $83.43 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.34 / $30.82 / $66.38
| Professional | | $19.34 | $30.82 | $66.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.35 / $40.68 / $109.24
| Professional | | $29.35 | $40.68 | $109.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.56 / $38.25 / $69.20
| Facility | | $34.56 | $38.25 | $69.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.07 / $215.25 / $215.25
| Facility | | $51.07 | $215.25 | $215.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.21 / $17.61 / $61.95
| Professional | | $13.21 | $17.61 | $61.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.88 / $30.26 / $37.11
| Professional | | $25.88 | $30.26 | $37.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.09 / $19.68 / $55.94
| Professional | | $14.09 | $19.68 | $55.94 |