- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.29 / $151.05 / $1,827.00
| Facility | | $31.29 | $151.05 | $1,827.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.47 / $33.54 / $130.00
| Professional | | $27.47 | $33.54 | $130.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.75 / $169.00 / $876.00
| Facility | | $8.75 | $169.00 | $876.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.05 / $36.49 / $70.54
| Professional | | $28.05 | $36.49 | $70.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.68 / $94.98 / $199.44
| Facility | | $51.68 | $94.98 | $199.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.37 / $35.14 / $92.60
| Professional | | $27.37 | $35.14 | $92.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.40 / $225.99 / $483.01
| Facility | | $50.40 | $225.99 | $483.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.25 / $38.22 / $80.89
| Professional | | $25.25 | $38.22 | $80.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.78 / $40.79 / $55.08
| Professional | | $20.78 | $40.79 | $55.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.91 / $40.47 / $68.26
| Professional | | $29.91 | $40.47 | $68.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $286.64 / $359.91 / $359.91
| Facility | | $286.64 | $359.91 | $359.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $204.50 / $204.50 / $264.38
| Professional | | $204.50 | $204.50 | $264.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.52 / $32.34 / $32.34
| Professional | | $26.52 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.24 / $42.23 / $81.52
| Facility | | $28.24 | $42.23 | $81.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.15 / $41.73 / $85.36
| Professional | | $26.15 | $41.73 | $85.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $100.26 / $100.26 / $100.26
| Professional | | $100.26 | $100.26 | $100.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.36 / $36.36 / $36.36
| Facility | | $36.36 | $36.36 | $36.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.29 / $33.02 / $86.76
| Professional | | $21.29 | $33.02 | $86.76 |