- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.72 / $127.23 / $530.10
| Facility | | $54.72 | $127.23 | $530.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.83 / $37.77 / $52.57
| Professional | | $34.83 | $37.77 | $52.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.61 / $83.19 / $227.10
| Facility | | $43.61 | $83.19 | $227.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.00 / $47.81 / $116.46
| Professional | | $21.00 | $47.81 | $116.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.36 / $134.33 / $234.85
| Facility | | $84.36 | $134.33 | $234.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.94 / $44.94 / $48.28
| Professional | | $44.94 | $44.94 | $48.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.42 / $62.08 / $147.99
| Facility | | $31.42 | $62.08 | $147.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.32 / $37.97 / $72.79
| Professional | | $18.32 | $37.97 | $72.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.06 / $69.06 / $81.26
| Professional | | $69.06 | $69.06 | $81.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.81 / $66.26 / $177.95
| Professional | | $47.81 | $66.26 | $177.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.17 / $59.98 / $103.04
| Facility | | $38.17 | $59.98 | $103.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.19 / $227.10 / $227.10
| Facility | | $83.19 | $227.10 | $227.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.13 / $28.69 / $97.55
| Professional | | $20.13 | $28.69 | $97.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.13 / $28.69 / $97.55
| Professional | | $20.13 | $28.69 | $97.55 |