- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $76.08 / $178.80
| Facility | | $18.05 | $76.08 | $178.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $19.01 / $39.42
| Professional | | $12.00 | $19.01 | $39.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.78 / $43.54 / $293.00
| Facility | | $19.78 | $43.54 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.95 / $12.45 / $27.07
| Professional | | $4.95 | $12.45 | $27.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.36 / $85.70 / $204.42
| Facility | | $42.36 | $85.70 | $204.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $14.09 / $54.97
| Professional | | $9.86 | $14.09 | $54.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.61 / $30.26 / $69.00
| Facility | | $12.61 | $30.26 | $69.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $18.75 / $24.85
| Professional | | $9.49 | $18.75 | $24.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.05 / $19.86 / $99.00
| Professional | | $18.05 | $19.86 | $99.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.44 / $18.05 / $36.00
| Professional | | $14.44 | $18.05 | $36.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $85.74 / $85.74
| Facility | | $80.00 | $85.74 | $85.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.25 / $20.00 / $45.75
| Facility | | $16.25 | $20.00 | $45.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $18.05 / $22.98
| Professional | | $9.49 | $18.05 | $22.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.77 / $55.77 / $55.77
| Professional | | $55.77 | $55.77 | $55.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.58 / $9.57 / $32.00
| Professional | | $7.58 | $9.57 | $32.00 |