- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.19 / $141.46 / $531.86
| Facility | | $49.19 | $141.46 | $531.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.37 / $49.19 / $58.85
| Professional | | $27.37 | $49.19 | $58.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.10 / $89.85 / $757.56
| Facility | | $47.10 | $89.85 | $757.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.79 / $51.64 / $125.78
| Professional | | $24.79 | $51.64 | $125.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.05 / $144.99 / $253.48
| Facility | | $91.05 | $144.99 | $253.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.54 / $48.54 / $66.05
| Professional | | $48.54 | $48.54 | $66.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.08 / $75.91 / $174.60
| Facility | | $36.08 | $75.91 | $174.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.41 / $57.09 / $78.48
| Professional | | $30.41 | $57.09 | $78.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.19 / $3,472.00 / $9,239.00
| Facility | | $73.19 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.68 / $74.68 / $87.86
| Professional | | $74.68 | $74.68 | $87.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.64 / $71.56 / $192.19
| Professional | | $51.64 | $71.56 | $192.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113.05 / $113.05 / $119.38
| Facility | | $113.05 | $113.05 | $119.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.85 / $757.56 / $757.56
| Facility | | $89.85 | $757.56 | $757.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.65 / $30.98 / $108.99
| Professional | | $13.65 | $30.98 | $108.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $30.98 / $108.99
| Professional | | $15.49 | $30.98 | $108.99 |