- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.10 / $55.26 / $97.31
| Facility | | $19.10 | $55.26 | $97.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.10 / $20.76 / $40.07
| Professional | | $19.10 | $20.76 | $40.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.07 / $35.71 / $97.75
| Facility | | $23.07 | $35.71 | $97.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.11 / $31.42 / $198.99
| Professional | | $17.11 | $31.42 | $198.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.79 / $68.78 / $124.60
| Facility | | $38.79 | $68.78 | $124.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.65 / $29.35 / $29.35
| Professional | | $25.65 | $29.35 | $29.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.68 / $42.61 / $77.43
| Facility | | $20.68 | $42.61 | $77.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.83 / $29.93 / $81.19
| Professional | | $15.83 | $29.93 | $81.19 |
- 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
- $45.27 / $45.27 / $53.26
| Professional | | $45.27 | $45.27 | $53.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.22 / $31.22 / $96.69
| Professional | | $31.22 | $31.22 | $96.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.32 / $150.00 / $150.00
| Facility | | $54.32 | $150.00 | $150.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $24.11 / $198.99
| Professional | | $16.80 | $24.11 | $198.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.10 / $31.22 / $37.46
| Facility | | $28.10 | $31.22 | $37.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $18.73 / $62.24
| Professional | | $16.80 | $18.73 | $62.24 |