- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.73 / $32.38 / $350.40
| Facility | | $15.73 | $32.38 | $350.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.18 / $29.52 / $36.40
| Professional | | $21.18 | $29.52 | $36.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $17.28 / $23.62
| Professional | | $11.03 | $17.28 | $23.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.69 / $94.81 / $220.11
| Facility | | $38.69 | $94.81 | $220.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.57 / $40.43 / $116.84
| Professional | | $15.57 | $40.43 | $116.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $20.94 / $332.00
| Facility | | $6.50 | $20.94 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.13 / $13.56 / $27.23
| Professional | | $10.13 | $13.56 | $27.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.32 / $27.32 / $27.32
| Facility | | $27.32 | $27.32 | $27.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.19 / $31.42 / $80.84
| Professional | | $25.19 | $31.42 | $80.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.25 / $103.02 / $254.50
| Facility | | $23.25 | $103.02 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.11 / $25.85 / $98.95
| Professional | | $17.11 | $25.85 | $98.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.47 / $391.70 / $516.96
| Facility | | $332.47 | $391.70 | $516.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.50 / $21.71 / $61.42
| Professional | | $13.50 | $21.71 | $61.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.11 / $42.87 / $42.87
| Facility | | $25.11 | $42.87 | $42.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.95 / $37.28 / $99.06
| Professional | | $25.95 | $37.28 | $99.06 |