- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.56 / $38.76 / $117.11
| Facility | | $14.56 | $38.76 | $117.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.56 / $14.69 / $17.39
| Professional | | $14.56 | $14.69 | $17.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.37 / $29.32 / $80.04
| Facility | | $15.37 | $29.32 | $80.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.09 / $16.85 / $41.04
| Professional | | $8.09 | $16.85 | $41.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.83 / $47.50 / $83.05
| Facility | | $29.83 | $47.50 | $83.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.84 / $15.84 / $19.55
| Professional | | $15.84 | $15.84 | $19.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.77 / $14.06 / $38.33
| Facility | | $11.77 | $14.06 | $38.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.92 / $19.41 / $26.21
| Professional | | $9.92 | $19.41 | $26.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.28 / $24.28 / $28.56
| Professional | | $24.28 | $24.28 | $28.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.85 / $23.35 / $60.09
| Professional | | $16.85 | $23.35 | $60.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.73 / $17.73 / $17.73
| Facility | | $17.73 | $17.73 | $17.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.32 / $80.04 / $80.04
| Facility | | $29.32 | $80.04 | $80.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.11 / $32.11
| Professional | | $5.25 | $10.11 | $32.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.74 / $10.11 / $31.20
| Professional | | $6.74 | $10.11 | $31.20 |