- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.70 / $48.64 / $129.66
| Facility | | $19.70 | $48.64 | $129.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.60 / $19.29 / $39.94
| Professional | | $14.60 | $19.29 | $39.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.18 / $84.21 / $157.31
| Facility | | $32.18 | $84.21 | $157.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $14.34 / $36.50
| Professional | | $5.00 | $14.34 | $36.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.07 / $26.07 / $80.00
| Facility | | $26.07 | $26.07 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.86 / $57.45 / $122.32
| Facility | | $29.86 | $57.45 | $122.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.72 / $19.36 / $55.00
| Professional | | $14.72 | $19.36 | $55.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.06 / $324.13 / $324.13
| Facility | | $76.06 | $324.13 | $324.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $810.43 / $810.43 / $810.43
| Professional | | $810.43 | $810.43 | $810.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.88 / $35.19 / $74.66
| Facility | | $20.88 | $35.19 | $74.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.07 / $26.07 / $36.15
| Professional | | $26.07 | $26.07 | $36.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.92 / $41.87 / $132.19
| Facility | | $20.92 | $41.87 | $132.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.03 / $25.87 / $50.70
| Professional | | $15.03 | $25.87 | $50.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.95 / $15.30 / $21.85
| Professional | | $10.95 | $15.30 | $21.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.87 / $13.50 / $26.07
| Professional | | $12.87 | $13.50 | $26.07 |