- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.63 / $50.75 / $83.13
| Facility | | $18.63 | $50.75 | $83.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.64 / $18.63 / $33.46
| Professional | | $17.64 | $18.63 | $33.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.84 / $34.03 / $241.00
| Facility | | $17.84 | $34.03 | $241.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $19.55 / $47.64
| Professional | | $11.74 | $19.55 | $47.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.47 / $54.88 / $95.95
| Facility | | $34.47 | $54.88 | $95.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.39 / $18.39 / $25.02
| Professional | | $18.39 | $18.39 | $25.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.67 / $29.06 / $66.81
| Facility | | $13.67 | $29.06 | $66.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.86 / $21.62 / $32.99
| Professional | | $11.86 | $21.62 | $32.99 |
- 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
- $28.00 / $28.00 / $32.94
| Professional | | $28.00 | $28.00 | $32.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.55 / $27.11 / $72.80
| Professional | | $19.55 | $27.11 | $72.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.03 / $241.00 / $241.00
| Facility | | $34.03 | $241.00 | $241.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.39 / $12.60 / $41.28
| Professional | | $9.39 | $12.60 | $41.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $12.60 / $41.28
| Professional | | $9.69 | $12.60 | $41.28 |