- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.30 / $85.44 / $351.56
| Facility | | $27.30 | $85.44 | $351.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.38 / $28.78 / $57.88
| Professional | | $24.38 | $28.78 | $57.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.93 / $25.93 / $25.93
| Professional | | $25.93 | $25.93 | $25.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $182.82 / $193.56 / $220.94
| Facility | | $182.82 | $193.56 | $220.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.40 / $30.03 / $51.79
| Professional | | $23.40 | $30.03 | $51.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.49 / $34.49 / $34.49
| Professional | | $34.49 | $34.49 | $34.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.39 / $18.67 / $39.40
| Facility | | $8.39 | $18.67 | $39.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.03 / $20.14 / $29.18
| Professional | | $9.03 | $20.14 | $29.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.32 / $162.54 / $268.55
| Facility | | $33.32 | $162.54 | $268.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.97 / $36.28 / $63.84
| Professional | | $23.97 | $36.28 | $63.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.21 / $178.69 / $377.35
| Facility | | $43.21 | $178.69 | $377.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.66 / $36.11 / $59.42
| Professional | | $24.66 | $36.11 | $59.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.52 / $36.24 / $51.07
| Professional | | $26.52 | $36.24 | $51.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $176.74 / $176.74 / $206.37
| Facility | | $176.74 | $176.74 | $206.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.22 / $31.06 / $54.65
| Professional | | $24.22 | $31.06 | $54.65 |