- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.36 / $70.70 / $194.07
| Facility | | $35.36 | $70.70 | $194.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.78 / $23.21 / $24.58
| Professional | | $16.78 | $23.21 | $24.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.54 / $66.41 / $189.39
| Facility | | $23.54 | $66.41 | $189.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $25.81 / $62.87
| Professional | | $15.49 | $25.81 | $62.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.27 / $72.09 / $126.03
| Facility | | $45.27 | $72.09 | $126.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.26 / $24.26 / $33.01
| Professional | | $24.26 | $24.26 | $33.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.04 / $38.34 / $88.18
| Facility | | $18.04 | $38.34 | $88.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.61 / $28.53 / $43.84
| Professional | | $15.61 | $28.53 | $43.84 |
- 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
- $37.35 / $37.35 / $43.94
| Professional | | $37.35 | $37.35 | $43.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.81 / $35.77 / $96.04
| Professional | | $25.81 | $35.77 | $96.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.38 / $57.06 / $128.72
| Facility | | $32.38 | $57.06 | $128.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.41 / $189.39 / $189.39
| Facility | | $66.41 | $189.39 | $189.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.39 / $17.30 / $54.48
| Professional | | $12.39 | $17.30 | $54.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.39 / $21.00 / $102.35
| Professional | | $12.39 | $21.00 | $102.35 |