- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.10 / $49.04 / $85.21
| Facility | | $19.10 | $49.04 | $85.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.09 / $20.88 / $27.53
| Professional | | $18.09 | $20.88 | $27.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.29 / $34.89 / $95.52
| Facility | | $18.29 | $34.89 | $95.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $20.05 / $124.81
| Professional | | $10.02 | $20.05 | $124.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.50 / $54.55 / $98.83
| Facility | | $35.50 | $54.55 | $98.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.85 / $18.85 / $25.65
| Professional | | $18.85 | $18.85 | $25.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.01 / $29.80 / $68.53
| Facility | | $14.01 | $29.80 | $68.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.07 / $23.13 / $54.15
| Professional | | $12.07 | $23.13 | $54.15 |
- 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
- $28.94 / $28.94 / $34.04
| Professional | | $28.94 | $28.94 | $34.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.05 / $20.05 / $65.19
| Professional | | $20.05 | $20.05 | $65.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.89 / $95.52 / $95.52
| Facility | | $34.89 | $95.52 | $95.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $12.03 / $164.83
| Professional | | $9.67 | $12.03 | $164.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $12.03 / $38.22
| Professional | | $9.67 | $12.03 | $38.22 |