- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.80 / $44.00 / $157.86
| Facility | | $19.80 | $44.00 | $157.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $13.89 / $14.85
| Professional | | $13.49 | $13.89 | $14.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.22 / $36.29 / $74.31
| Facility | | $14.22 | $36.29 | $74.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $15.59 / $37.97
| Professional | | $9.35 | $15.59 | $37.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.36 / $45.93 / $81.43
| Facility | | $30.36 | $45.93 | $81.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.65 / $14.65 / $19.94
| Professional | | $14.65 | $14.65 | $19.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.89 / $23.52 / $53.23
| Facility | | $10.89 | $23.52 | $53.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $11.98 / $26.21
| Professional | | $8.27 | $11.98 | $26.21 |
- 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
- $22.40 / $22.40 / $26.35
| Professional | | $22.40 | $22.40 | $26.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.59 / $21.61 / $58.02
| Professional | | $15.59 | $21.61 | $58.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.92 / $18.42 / $20.61
| Facility | | $17.92 | $18.42 | $20.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.29 / $74.31 / $74.31
| Facility | | $36.29 | $74.31 | $74.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $10.45 / $32.90
| Professional | | $7.48 | $10.45 | $32.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.55 / $9.35 / $31.37
| Professional | | $6.55 | $9.35 | $31.37 |