- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.94 / $36.77 / $308.89
| Facility | | $9.94 | $36.77 | $308.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $11.62 / $22.28
| Professional | | $9.94 | $11.62 | $22.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.88 / $28.76 / $158.04
| Facility | | $11.88 | $28.76 | $158.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.25 / $13.03 / $31.74
| Professional | | $6.25 | $13.03 | $31.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.12 / $36.86 / $64.45
| Facility | | $19.12 | $36.86 | $64.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.25 / $12.25 / $13.35
| Professional | | $12.25 | $12.25 | $13.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.11 / $19.34 / $44.51
| Facility | | $9.11 | $19.34 | $44.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $12.11 / $22.15
| Professional | | $7.91 | $12.11 | $22.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.25 / $3,472.00 / $9,239.00
| Facility | | $47.25 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.67 / $18.67 / $21.97
| Professional | | $18.67 | $18.67 | $21.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.03 / $18.05 / $46.45
| Professional | | $13.03 | $18.05 | $46.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.11 / $81.54 / $153.34
| Facility | | $15.11 | $81.54 | $153.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.76 / $158.04 / $158.04
| Facility | | $28.76 | $158.04 | $158.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.82 / $22.04
| Professional | | $5.25 | $7.82 | $22.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.82 / $22.04
| Professional | | $5.25 | $7.82 | $22.04 |