- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $218.78 / $588.84
| Facility | | $43.65 | $218.78 | $588.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $45.71 / $70.79
| Professional | | $22.91 | $45.71 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $35.48 / $141.25
| Facility | | $35.48 | $35.48 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $30.90
| Professional | | $17.38 | $17.38 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $162.18 / $245.47
| Professional | | $30.20 | $162.18 | $245.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $87.10 / $158.49
| Facility | | $54.95 | $87.10 | $158.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $25.70 / $74.13
| Professional | | $17.78 | $25.70 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $41.69 / $52.48
| Professional | | $35.48 | $41.69 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.18 / $69.18 / $69.18
| Professional | | $69.18 | $69.18 | $69.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $60.26 / $93.33
| Facility | | $29.51 | $60.26 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $28.18 / $74.13
| Professional | | $28.18 | $28.18 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $47.86 / $10,000.00
| Facility | | $33.11 | $47.86 | $10,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $47.86 / $10,000.00
| Professional | | $33.88 | $47.86 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $35.48 / $41.69
| Facility | | $29.51 | $35.48 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $20.89 / $48.98
| Professional | | $14.79 | $20.89 | $48.98 |