- 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
- $12.67 / $30.08 / $32.78
| Professional | | $12.67 | $30.08 | $32.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.66 / $86.56 / $8,639.91
| Facility | | $66.66 | $86.56 | $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
- $25.35 / $50.14 / $112.82
| Facility | | $25.35 | $50.14 | $112.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $35.09 / $55.24
| Professional | | $8.94 | $35.09 | $55.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.98 / $22.76 / $52.22
| Professional | | $15.98 | $22.76 | $52.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106.23 / $106.23 / $106.23
| Facility | | $106.23 | $106.23 | $106.23 |
- 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
- $19.28 / $31.24 / $159.29
| Professional | | $19.28 | $31.24 | $159.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.82 / $56.08 / $128.22
| Facility | | $25.82 | $56.08 | $128.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $37.14 / $55.24
| Professional | | $8.39 | $37.14 | $55.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.23 / $38.57 / $38.57
| Facility | | $21.23 | $38.57 | $38.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.23 / $38.57 / $38.57
| Professional | | $21.23 | $38.57 | $38.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.58 / $23.14 / $57.86
| Professional | | $11.58 | $23.14 | $57.86 |