- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.70 / $64.20 / $312.98
| Facility | | $11.70 | $64.20 | $312.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.36 / $11.47 / $18.91
| Professional | | $11.36 | $11.47 | $18.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.64 / $71.88 / $155.84
| Facility | | $28.64 | $71.88 | $155.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.96 / $26.96 / $26.96
| Professional | | $26.96 | $26.96 | $26.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.68 / $31.66 / $213.92
| Facility | | $11.68 | $31.66 | $213.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.77 / $41.77 / $41.77
| Facility | | $41.77 | $41.77 | $41.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $11.36 / $11.36
| Facility | | $10.72 | $11.36 | $11.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.36 / $11.36 / $11.36
| Professional | | $11.36 | $11.36 | $11.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $100.00 / $100.00
| Facility | | $75.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.68 / $102.30 / $399.82
| Facility | | $11.68 | $102.30 | $399.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.76 / $11.36 / $26.97
| Professional | | $8.76 | $11.36 | $26.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.50 / $1,735.81 / $3,036.52
| Facility | | $1,202.50 | $1,735.81 | $3,036.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $11.36 / $21.15
| Facility | | $10.72 | $11.36 | $21.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.70 / $11.36 / $20.52
| Professional | | $10.70 | $11.36 | $20.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.36 / $11.36 / $11.36
| Professional | | $11.36 | $11.36 | $11.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.68 / $14.90 / $15.34
| Professional | | $11.68 | $14.90 | $15.34 |