- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.68 / $33.74 / $43.86
| Facility | | $25.68 | $33.74 | $43.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.40 / $29.16 / $39.61
| Professional | | $13.40 | $29.16 | $39.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.67 / $17.34 / $65.01
| Professional | | $13.67 | $17.34 | $65.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.68 / $35.14 / $35.14
| Facility | | $32.68 | $35.14 | $35.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.14 / $35.14 / $35.14
| Professional | | $35.14 | $35.14 | $35.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.09 / $49.09 / $49.09
| Facility | | $49.09 | $49.09 | $49.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.09 / $17.09 / $17.09
| Professional | | $17.09 | $17.09 | $17.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.89 / $76.66 / $332.00
| Facility | | $41.89 | $76.66 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.98 / $56.72 / $90.90
| Professional | | $43.98 | $56.72 | $90.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $26.30 / $26.30
| Facility | | $26.30 | $26.30 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.30 / $27.95 / $35.14
| Professional | | $26.30 | $27.95 | $35.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.09 / $49.09 / $597.00
| Facility | | $49.09 | $49.09 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $17.09 / $71.75
| Professional | | $15.00 | $17.09 | $71.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.93 / $24.47 / $45.28
| Professional | | $13.93 | $24.47 | $45.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $26.30 / $28.21
| Facility | | $26.30 | $26.30 | $28.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.30 / $26.30 / $27.95
| Professional | | $26.30 | $26.30 | $27.95 |