- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.75 / $64.20 / $121.89
| Facility | | $22.75 | $64.20 | $121.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.09 / $21.17 / $31.24
| Professional | | $18.09 | $21.17 | $31.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.29 / $28.25 / $73.45
| Facility | | $18.29 | $28.25 | $73.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.65 / $27.07 / $176.00
| Professional | | $13.65 | $27.07 | $176.00 |
- 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
- $21.39 / $21.39 / $25.65
| Professional | | $21.39 | $21.39 | $25.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.03 / $36.29 / $77.43
| Facility | | $19.03 | $36.29 | $77.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.62 / $24.37 / $59.54
| Professional | | $13.62 | $24.37 | $59.54 |
- 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
- $32.67 / $32.67 / $38.43
| Professional | | $32.67 | $32.67 | $38.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.75 / $22.75 / $73.26
| Professional | | $22.75 | $22.75 | $73.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.59 / $108.06 / $108.06
| Facility | | $39.59 | $108.06 | $108.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.65 / $17.57 / $176.00
| Professional | | $13.65 | $17.57 | $176.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.68 / $26.00 / $42.56
| Professional | | $20.68 | $26.00 | $42.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.48 / $22.75 / $27.30
| Facility | | $20.48 | $22.75 | $27.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.56 / $16.80 / $43.36
| Professional | | $9.56 | $16.80 | $43.36 |