- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.56 / $268.29 / $842.52
| Facility | | $79.56 | $268.29 | $842.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.39 / $10.69 / $17.04
| Professional | | $10.39 | $10.69 | $17.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.82 / $15.76 / $33.77
| Professional | | $9.82 | $15.76 | $33.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.60 / $43.01 / $67.84
| Facility | | $33.60 | $43.01 | $67.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.37 / $29.96 / $34.65
| Professional | | $26.37 | $29.96 | $34.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.31 / $13.13 / $19.59
| Facility | | $10.31 | $13.13 | $19.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.47 / $134.60 / $203.18
| Facility | | $38.47 | $134.60 | $203.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.21 / $22.05 / $42.07
| Professional | | $13.21 | $22.05 | $42.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.31 / $55.00 / $85.00
| Professional | | $50.31 | $55.00 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.31 / $13.13 / $19.59
| Facility | | $10.31 | $13.13 | $19.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.47 / $25.33 / $31.80
| Professional | | $17.47 | $25.33 | $31.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.00 / $114.00 / $114.00
| Facility | | $114.00 | $114.00 | $114.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.99 / $10.99 / $46.21
| Professional | | $10.99 | $10.99 | $46.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.19 / $43.19 / $43.19
| Professional | | $43.19 | $43.19 | $43.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.26 / $21.87 / $39.97
| Professional | | $12.26 | $21.87 | $39.97 |