- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.76 / $93.73 / $445.83
| Facility | | $22.76 | $93.73 | $445.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.21 / $46.68 / $167.44
| Professional | | $22.21 | $46.68 | $167.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $135.01 / $175.32 / $8,639.91
| Facility | | $135.01 | $175.32 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $20.89 / $20.89
| Professional | | $20.89 | $20.89 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.60 / $35.67 / $89.10
| Facility | | $17.60 | $35.67 | $89.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.77 / $30.98 / $46.97
| Professional | | $16.77 | $30.98 | $46.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.32 / $15.80 / $36.26
| Professional | | $12.32 | $15.80 | $36.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.28 / $73.67 / $165.08
| Facility | | $35.28 | $73.67 | $165.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.07 / $20.79 / $25.50
| Professional | | $16.07 | $20.79 | $25.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.04 / $79.66 / $520.59
| Facility | | $25.04 | $79.66 | $520.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $24.28 / $163.38
| Professional | | $20.89 | $24.28 | $163.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.93 / $40.67 / $89.10
| Facility | | $17.93 | $40.67 | $89.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.77 / $30.98 / $46.97
| Professional | | $16.77 | $30.98 | $46.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.78 / $26.78 / $26.78
| Facility | | $26.78 | $26.78 | $26.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.57 / $26.78 / $34.79
| Professional | | $23.57 | $26.78 | $34.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.05 / $19.95 / $53.90
| Professional | | $12.05 | $19.95 | $53.90 |