- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.47 / $81.61 / $444.89
| Facility | | $19.47 | $81.61 | $444.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $23.87 / $46.68
| Professional | | $10.47 | $23.87 | $46.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.43 / $37.81 / $127.38
| Facility | | $24.43 | $37.81 | $127.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.85 / $26.20 / $65.23
| Professional | | $12.85 | $26.20 | $65.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.70 / $79.73 / $131.75
| Facility | | $52.70 | $79.73 | $131.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.06 / $25.17 / $26.51
| Professional | | $14.06 | $25.17 | $26.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.71 / $41.74 / $103.36
| Facility | | $18.71 | $41.74 | $103.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.77 / $30.98 / $49.72
| Professional | | $15.77 | $30.98 | $49.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.84 / $3,472.00 / $9,239.00
| Facility | | $50.84 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.75 / $38.75 / $45.58
| Professional | | $38.75 | $38.75 | $45.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.78 / $35.35 / $95.50
| Professional | | $26.78 | $35.35 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.61 / $30.78 / $1,571.94
| Facility | | $23.61 | $30.78 | $1,571.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $127.38 / $127.38 / $311.67
| Facility | | $127.38 | $127.38 | $311.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $16.07 / $44.89
| Professional | | $9.22 | $16.07 | $44.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $16.07 / $44.89
| Professional | | $9.22 | $16.07 | $44.89 |