- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.98 / $89.13 / $144.54
| Facility | | $48.98 | $89.13 | $144.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $41.69 / $41.69
| Professional | | $41.69 | $41.69 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $53.70
| Professional | | $20.42 | $20.42 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.69 / $41.69 / $41.69
| Facility | | $41.69 | $41.69 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $41.69 / $41.69
| Professional | | $30.90 | $41.69 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $83.18 / $186.21
| Facility | | $33.11 | $83.18 | $186.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $245.47 / $245.47
| Professional | | $41.69 | $245.47 | $245.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.29 / $67.61 / $141.25
| Facility | | $51.29 | $67.61 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.99 / $36.31 / $100.00
| Professional | | $23.99 | $36.31 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $45.71 / $57.54
| Professional | | $25.12 | $45.71 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.69 / $97.72 / $50,118.72
| Facility | | $41.69 | $97.72 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.90 / $46.77 / $61.66
| Facility | | $30.90 | $46.77 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $29.51 / $70.79
| Professional | | $16.98 | $29.51 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $52.48 / $58.88
| Facility | | $31.62 | $52.48 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $45.71 / $58.88
| Professional | | $27.54 | $45.71 | $58.88 |