- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $213.80 / $741.31
| Facility | | $28.84 | $213.80 | $741.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $25.70 / $37.15
| Professional | | $19.95 | $25.70 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $14.79 / $25.70
| Professional | | $9.55 | $14.79 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $31.62 / $31.62
| Facility | | $10.72 | $31.62 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $31.62 / $31.62
| Professional | | $13.18 | $31.62 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.14 / $77.62 / $239.88
| Facility | | $2.14 | $77.62 | $239.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $37.15 / $117.49
| Professional | | $12.02 | $37.15 | $117.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $12.02 / $43.65
| Facility | | $7.59 | $12.02 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $16.60 / $42.66
| Professional | | $11.22 | $16.60 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $23.44 / $36.31
| Professional | | $15.49 | $23.44 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $89.13 / $117.49
| Facility | | $9.33 | $89.13 | $117.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $50,118.72 / $75,857.76
| Facility | | $19.05 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $269.15 / $489.78
| Facility | | $10.23 | $269.15 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $18.20 / $56.23
| Professional | | $10.47 | $18.20 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $26.92 / $36.31
| Facility | | $7.24 | $26.92 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $26.92 / $38.02
| Professional | | $19.05 | $26.92 | $38.02 |