- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.86 / $51.02 / $113.36
| Facility | | $9.86 | $51.02 | $113.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $9.86 / $44.19
| Professional | | $9.35 | $9.86 | $44.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.68 / $45.94 / $190.81
| Facility | | $29.68 | $45.94 | $190.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.05 / $35.42 / $83.88
| Professional | | $12.05 | $35.42 | $83.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.54 / $87.74 / $158.94
| Facility | | $20.54 | $87.74 | $158.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.25 / $37.76 / $39.77
| Professional | | $13.25 | $37.76 | $39.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.46 / $26.84 / $55.66
| Facility | | $11.46 | $26.84 | $55.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $24.15 / $61.44
| Professional | | $7.59 | $24.15 | $61.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.94 / $3,472.00 / $9,239.00
| Facility | | $46.94 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.88 / $57.88 / $68.09
| Professional | | $57.88 | $57.88 | $68.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.17 / $40.17 / $129.35
| Professional | | $40.17 | $40.17 | $129.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.90 / $190.81 / $190.81
| Facility | | $69.90 | $190.81 | $190.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $18.07 / $24.71
| Professional | | $8.69 | $18.07 | $24.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.94 / $18.07 / $27.60
| Facility | | $5.94 | $18.07 | $27.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $18.55 / $31.03
| Professional | | $8.69 | $18.55 | $31.03 |