- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.26 / $56.58 / $97.31
| Facility | | $23.26 | $56.58 | $97.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.09 / $22.86 / $71.00
| Professional | | $18.09 | $22.86 | $71.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.29 / $28.25 / $67.17
| Facility | | $18.29 | $28.25 | $67.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.03 / $23.86 / $166.43
| Professional | | $12.03 | $23.86 | $166.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.50 / $54.55 / $98.83
| Facility | | $35.50 | $54.55 | $98.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.03 / $34.29 / $77.43
| Facility | | $19.03 | $34.29 | $77.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.07 / $22.17 / $54.15
| Professional | | $12.07 | $22.17 | $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
- $23.05 / $26.23 / $127.70
| Facility | | $23.05 | $26.23 | $127.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.72 / $95.52 / $95.52
| Facility | | $36.72 | $95.52 | $95.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.03 / $17.55 / $166.43
| Professional | | $12.03 | $17.55 | $166.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.55 / $25.31 / $47.01
| Facility | | $18.55 | $25.31 | $47.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.45 / $24.81 / $30.08
| Professional | | $19.45 | $24.81 | $30.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.03 / $20.05 / $53.03
| Professional | | $12.03 | $20.05 | $53.03 |