- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $89.13 / $190.55
| Facility | | $34.67 | $89.13 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.99 / $30.20 / $199.53
| Professional | | $23.99 | $30.20 | $199.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $32.36
| Professional | | $16.22 | $16.22 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $229.09 / $5,011.87
| Facility | | $173.78 | $229.09 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $25.70 / $32.36
| Professional | | $25.70 | $25.70 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $50.12 / $112.20
| Facility | | $21.88 | $50.12 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $37.15 / $87.10
| Professional | | $31.62 | $37.15 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $32.36 / $46.77
| Professional | | $15.49 | $32.36 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $32.36
| Facility | | $32.36 | $32.36 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $36.31 / $56.23
| Professional | | $32.36 | $36.31 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $190.55 / $416.87
| Facility | | $66.07 | $190.55 | $416.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $89.13 / $190.55
| Facility | | $36.31 | $89.13 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.99 / $36.31 / $134.90
| Professional | | $23.99 | $36.31 | $134.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $47.86 / $47.86
| Facility | | $32.36 | $47.86 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $32.36 / $47.86
| Professional | | $8.71 | $32.36 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $32.36 / $38.90
| Facility | | $21.88 | $32.36 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $21.38 / $56.23
| Professional | | $14.79 | $21.38 | $56.23 |