- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.62 / $81.81 / $453.12
| Facility | | $29.62 | $81.81 | $453.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.23 / $17.93 / $20.98
| Professional | | $17.23 | $17.93 | $20.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $41.01 / $550.79
| Facility | | $18.05 | $41.01 | $550.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.55 / $23.57 / $57.41
| Professional | | $11.55 | $23.57 | $57.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.97 / $55.70 / $97.38
| Facility | | $34.97 | $55.70 | $97.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.16 / $22.16 / $25.30
| Professional | | $22.16 | $22.16 | $25.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.47 / $30.50 / $67.61
| Facility | | $16.47 | $30.50 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.15 / $21.87 / $36.14
| Professional | | $14.15 | $21.87 | $36.14 |
- 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
- $34.07 / $34.07 / $40.08
| Professional | | $34.07 | $34.07 | $40.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.57 / $32.67 / $77.08
| Professional | | $23.57 | $32.67 | $77.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.98 / $30.98 / $173.02
| Facility | | $24.98 | $30.98 | $173.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.01 / $550.79 / $550.79
| Facility | | $41.01 | $550.79 | $550.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.81 / $14.14 / $41.78
| Professional | | $9.81 | $14.14 | $41.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.90 / $14.14 / $41.78
| Professional | | $9.90 | $14.14 | $41.78 |