- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.80 / $44.33 / $182.90
| Facility | | $16.80 | $44.33 | $182.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $22.94 / $23.58
| Professional | | $9.94 | $22.94 | $23.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.07 / $28.76 / $83.15
| Facility | | $12.07 | $28.76 | $83.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $13.24 / $32.25
| Professional | | $6.36 | $13.24 | $32.25 |
- 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
- $12.45 / $12.45 / $13.35
| Professional | | $12.45 | $12.45 | $13.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.25 / $19.64 / $45.24
| Facility | | $9.25 | $19.64 | $45.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $12.36 / $22.60
| Professional | | $7.91 | $12.36 | $22.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.21 / $3,472.00 / $9,239.00
| Facility | | $34.21 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.14 / $19.14 / $22.51
| Professional | | $19.14 | $19.14 | $22.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.24 / $18.35 / $47.22
| Professional | | $13.24 | $18.35 | $47.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.59 / $16.61 / $81.42
| Facility | | $13.59 | $16.61 | $81.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.76 / $83.15 / $83.15
| Facility | | $28.76 | $83.15 | $83.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.94 / $22.21
| Professional | | $5.25 | $7.94 | $22.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.66 / $11.84 / $14.33
| Professional | | $10.66 | $11.84 | $14.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.94 / $22.21
| Professional | | $5.25 | $7.94 | $22.21 |