- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.34 / $81.80 / $785.40
| Facility | | $18.34 | $81.80 | $785.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.70 / $18.34 / $22.93
| Professional | | $16.70 | $18.34 | $22.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.39 / $124.74 / $241.21
| Facility | | $38.39 | $124.74 | $241.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.00 / $27.27 / $86.81
| Professional | | $11.00 | $27.27 | $86.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.51 / $250.42 / $413.78
| Facility | | $165.51 | $250.42 | $413.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $9.11 / $10.11
| Professional | | $9.11 | $9.11 | $10.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.06 / $22.92 / $61.14
| Facility | | $2.06 | $22.92 | $61.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.80 / $21.24 / $33.56
| Professional | | $9.80 | $21.24 | $33.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $4,618.00 / $9,239.00
| Facility | | $83.43 | $4,618.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.74 / $31.74 / $37.34
| Professional | | $31.74 | $31.74 | $37.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.85 / $38.60 / $464.58
| Professional | | $27.85 | $38.60 | $464.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.00 / $39.09 / $298.48
| Facility | | $38.00 | $39.09 | $298.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.69 / $124.74 / $124.74
| Facility | | $43.69 | $124.74 | $124.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $15.80 / $34.76
| Professional | | $3.15 | $15.80 | $34.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $17.91 / $34.76
| Professional | | $3.15 | $17.91 | $34.76 |