- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.78 / $146.58 / $238.72
| Facility | | $15.78 | $146.58 | $238.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.89 / $7.89 / $71.20
| Professional | | $7.89 | $7.89 | $71.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.77 / $45.77 / $121.74
| Professional | | $45.77 | $45.77 | $121.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.76 / $83.76 / $83.76
| Facility | | $83.76 | $83.76 | $83.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.14 / $83.76 / $83.76
| Professional | | $61.14 | $83.76 | $83.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.53 / $169.59 / $217.32
| Facility | | $58.53 | $169.59 | $217.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $96.23 / $120.29 / $403.72
| Professional | | $96.23 | $120.29 | $403.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.76 / $175.90 / $332.00
| Facility | | $83.76 | $175.90 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.50 / $49.42 / $156.63
| Professional | | $33.50 | $49.42 | $156.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.46 / $79.56 / $94.78
| Professional | | $52.46 | $79.56 | $94.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.66 / $204.33 / $292.35
| Facility | | $81.66 | $204.33 | $292.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.44 / $83.76 / $172.55
| Professional | | $54.44 | $83.76 | $172.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.18 / $50.26 / $123.02
| Professional | | $35.18 | $50.26 | $123.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.76 / $96.32 / $96.32
| Facility | | $83.76 | $96.32 | $96.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.46 / $83.76 / $100.67
| Professional | | $52.46 | $83.76 | $100.67 |