- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.80 / $56.82 / $414.93
| Facility | | $14.80 | $56.82 | $414.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $14.87 / $15.85
| Professional | | $10.96 | $14.87 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.90 / $60.68 / $102.74
| Facility | | $22.90 | $60.68 | $102.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $10.37 / $17.42
| Professional | | $5.00 | $10.37 | $17.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.23 / $114.23 / $114.23
| Facility | | $114.23 | $114.23 | $114.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.46 / $35.36 / $83.69
| Facility | | $15.46 | $35.36 | $83.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.29 / $10.29 / $25.78
| Professional | | $10.29 | $10.29 | $25.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $92.96 / $92.96
| Facility | | $80.00 | $92.96 | $92.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.25 / $19.57 / $23.68
| Facility | | $14.25 | $19.57 | $23.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $19.57 / $19.57
| Professional | | $16.98 | $19.57 | $19.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $341.11 / $341.11 / $441.28
| Facility | | $341.11 | $341.11 | $441.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.09 / $19.57 / $39.72
| Facility | | $14.09 | $19.57 | $39.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.29 / $13.70 / $19.57
| Professional | | $10.29 | $13.70 | $19.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.84 / $8.22 / $11.74
| Professional | | $7.84 | $8.22 | $11.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $7.83 / $19.57
| Professional | | $7.63 | $7.83 | $19.57 |