- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.24 / $104.88 / $161.31
| Facility | | $31.24 | $104.88 | $161.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.57 / $27.89 / $32.78
| Professional | | $20.57 | $27.89 | $32.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.14 / $23.14 / $23.14
| Professional | | $23.14 | $23.14 | $23.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $133.22 / $172.99 / $8,639.91
| Facility | | $133.22 | $172.99 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.08 / $30.08 / $30.08
| Professional | | $30.08 | $30.08 | $30.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.82 / $50.14 / $112.82
| Facility | | $25.82 | $50.14 | $112.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.54 / $44.19 / $55.24
| Professional | | $28.54 | $44.19 | $55.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.61 / $22.76 / $52.22
| Professional | | $10.61 | $22.76 | $52.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.61 / $97.68 / $195.40
| Facility | | $62.61 | $97.68 | $195.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.83 / $18.32 / $32.79
| Professional | | $12.83 | $18.32 | $32.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.78 / $104.88 / $161.31
| Facility | | $32.78 | $104.88 | $161.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.30 / $30.47 / $159.29
| Professional | | $24.30 | $30.47 | $159.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.95 / $64.17 / $128.22
| Facility | | $26.95 | $64.17 | $128.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.14 / $44.19 / $55.24
| Professional | | $37.14 | $44.19 | $55.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.57 / $38.57 / $42.43
| Facility | | $38.57 | $38.57 | $42.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.94 / $38.57 / $42.43
| Professional | | $33.94 | $38.57 | $42.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.20 / $23.14 / $65.56
| Professional | | $16.20 | $23.14 | $65.56 |