- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $85.11 / $123.03
| Facility | | $7.94 | $85.11 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.96 / $251.19
| Professional | | $7.94 | $10.96 | $251.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $177.83 / $177.83
| Facility | | $177.83 | $177.83 | $177.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $7.24 / $22.39
| Professional | | $6.31 | $7.24 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $23.99 / $34.67
| Facility | | $19.05 | $23.99 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.22 / $37.15
| Professional | | $11.22 | $11.22 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $8.51 / $60.26
| Facility | | $5.01 | $8.51 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $45.71 / $57.54
| Professional | | $22.91 | $45.71 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $12.59 / $12.59
| Facility | | $12.59 | $12.59 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $54.95 / $64.57
| Professional | | $54.95 | $54.95 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $38.02 / $63.10
| Professional | | $33.11 | $38.02 | $63.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $19.05 / $831.76
| Facility | | $14.13 | $19.05 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $177.83 / $177.83
| Facility | | $177.83 | $177.83 | $177.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $7.24 / $22.39
| Professional | | $6.31 | $7.24 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $22.39 / $38.02
| Facility | | $10.96 | $22.39 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $15.85 / $38.02
| Professional | | $6.31 | $15.85 | $38.02 |