- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.42 / $95.17 / $191.73
| Facility | | $26.42 | $95.17 | $191.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.29 / $33.92 / $42.92
| Professional | | $17.29 | $33.92 | $42.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $164.47 / $213.58 / $8,639.91
| Facility | | $164.47 | $213.58 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.44 / $25.44 / $25.44
| Professional | | $25.44 | $25.44 | $25.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.44 / $44.87 / $108.66
| Facility | | $21.44 | $44.87 | $108.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.47 / $37.58 / $86.32
| Professional | | $31.47 | $37.58 | $86.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.01 / $26.10 / $44.17
| Professional | | $15.01 | $26.10 | $44.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.48 / $189.43 / $392.18
| Facility | | $65.48 | $189.43 | $392.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.50 / $92.94 / $224.60
| Facility | | $30.50 | $92.94 | $224.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.29 / $35.03 / $134.72
| Professional | | $17.29 | $35.03 | $134.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.84 / $50.57 / $108.66
| Facility | | $21.84 | $50.57 | $108.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.47 / $37.58 / $86.32
| Professional | | $31.47 | $37.58 | $86.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.61 / $32.61 / $32.61
| Facility | | $32.61 | $32.61 | $32.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.71 / $32.61 / $46.41
| Professional | | $28.71 | $32.61 | $46.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.68 / $20.22 / $57.14
| Professional | | $14.68 | $20.22 | $57.14 |