- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.17 / $241.28 / $966.96
| Facility | | $37.17 | $241.28 | $966.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.35 / $22.30 / $42.80
| Professional | | $17.35 | $22.30 | $42.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.54 / $30.18 / $71.76
| Facility | | $19.54 | $30.18 | $71.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.89 / $29.93 / $397.33
| Professional | | $18.89 | $29.93 | $397.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.82 / $63.27 / $210.66
| Facility | | $41.82 | $63.27 | $210.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.13 / $20.13 / $27.39
| Professional | | $20.13 | $20.13 | $27.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.32 / $36.64 / $82.70
| Facility | | $20.32 | $36.64 | $82.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.91 / $22.96 / $58.16
| Professional | | $12.91 | $22.96 | $58.16 |
- 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
- $30.80 / $30.80 / $36.24
| Professional | | $30.80 | $30.80 | $36.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.42 / $42.28 / $69.66
| Professional | | $21.42 | $42.28 | $69.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.20 / $151.33 / $1,297.66
| Facility | | $52.20 | $151.33 | $1,297.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.27 / $301.72 / $301.72
| Facility | | $37.27 | $301.72 | $301.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.96 / $29.99 / $397.33
| Professional | | $17.96 | $29.99 | $397.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.96 / $29.93 / $70.75
| Professional | | $17.96 | $29.93 | $70.75 |