- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.17 / $31.94 / $328.74
| Facility | | $17.17 | $31.94 | $328.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.62 / $20.70 / $27.27
| Professional | | $15.62 | $20.70 | $27.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.15 / $35.83 / $79.91
| Facility | | $23.15 | $35.83 | $79.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.28 / $29.13 / $184.46
| Professional | | $13.28 | $29.13 | $184.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.72 / $50.69 / $91.83
| Facility | | $36.72 | $50.69 | $91.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.15 / $25.85 / $57.34
| Facility | | $1.15 | $25.85 | $57.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.20 / $22.89 / $58.67
| Professional | | $12.20 | $22.89 | $58.67 |
- 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
- $20.50 / $29.40 / $34.59
| Professional | | $20.50 | $29.40 | $34.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.80 / $25.80 / $82.38
| Professional | | $25.80 | $25.80 | $82.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.48 / $43.48 / $43.48
| Facility | | $43.48 | $43.48 | $43.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.49 / $115.57 / $115.57
| Facility | | $40.49 | $115.57 | $115.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.46 / $20.85 / $184.46
| Professional | | $12.46 | $20.85 | $184.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.02 / $19.36 / $33.58
| Professional | | $11.02 | $19.36 | $33.58 |