- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.10 / $52.72 / $93.16
| Facility | | $19.10 | $52.72 | $93.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.76 / $19.10 / $34.31
| Professional | | $17.76 | $19.10 | $34.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.29 / $28.25 / $71.50
| Facility | | $18.29 | $28.25 | $71.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.15 / $26.08 / $180.90
| Professional | | $13.15 | $26.08 | $180.90 |
- 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
- $20.60 / $20.60 / $25.65
| Professional | | $20.60 | $20.60 | $25.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.03 / $35.24 / $77.43
| Facility | | $19.03 | $35.24 | $77.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.22 / $23.30 / $56.84
| Professional | | $13.22 | $23.30 | $56.84 |
- 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
- $31.74 / $31.74 / $37.34
| Professional | | $31.74 | $31.74 | $37.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.92 / $21.92 / $71.27
| Professional | | $21.92 | $21.92 | $71.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.14 / $150.00 / $150.00
| Facility | | $38.14 | $150.00 | $150.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.15 / $17.55 / $180.90
| Professional | | $13.15 | $17.55 | $180.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.73 / $21.92 / $26.30
| Facility | | $19.73 | $21.92 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.15 / $16.80 / $40.10
| Professional | | $13.15 | $16.80 | $40.10 |