- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.10 / $53.37 / $97.31
| Facility | | $19.10 | $53.37 | $97.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.09 / $19.10 / $40.07
| Professional | | $18.09 | $19.10 | $40.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.86 / $30.74 / $84.16
| Facility | | $19.86 | $30.74 | $84.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.13 / $31.36 / $180.90
| Professional | | $16.13 | $31.36 | $180.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.58 / $59.28 / $107.40
| Facility | | $38.58 | $59.28 | $107.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.27 / $25.27 / $25.65
| Professional | | $25.27 | $25.27 | $25.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.68 / $39.96 / $77.43
| Facility | | $20.68 | $39.96 | $77.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.26 / $27.71 / $70.37
| Professional | | $14.26 | $27.71 | $70.37 |
- 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
- $38.75 / $38.75 / $45.58
| Professional | | $38.75 | $38.75 | $45.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.88 / $26.88 / $83.24
| Professional | | $26.88 | $26.88 | $83.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.77 / $150.00 / $150.00
| Facility | | $46.77 | $150.00 | $150.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.13 / $20.76 / $180.90
| Professional | | $16.13 | $20.76 | $180.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.19 / $26.88 / $32.26
| Facility | | $24.19 | $26.88 | $32.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.13 / $16.80 / $48.01
| Professional | | $16.13 | $16.80 | $48.01 |