- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.90 / $114.25 / $186.96
| Facility | | $41.90 | $114.25 | $186.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.32 / $41.90 / $63.02
| Professional | | $23.32 | $41.90 | $63.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.13 / $122.34 / $379.10
| Facility | | $40.13 | $122.34 | $379.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.39 / $43.99 / $107.15
| Professional | | $26.39 | $43.99 | $107.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.68 / $123.70 / $216.25
| Facility | | $77.68 | $123.70 | $216.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.35 / $41.35 / $56.27
| Professional | | $41.35 | $41.35 | $56.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.74 / $64.95 / $149.47
| Facility | | $30.74 | $64.95 | $149.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.44 / $48.93 / $93.56
| Professional | | $26.44 | $48.93 | $93.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.15 / $3,472.00 / $9,239.00
| Facility | | $63.15 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.47 / $63.47 / $74.67
| Professional | | $63.47 | $63.47 | $74.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.99 / $60.97 / $163.75
| Professional | | $43.99 | $60.97 | $163.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.53 / $379.10 / $379.10
| Facility | | $190.53 | $379.10 | $379.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.12 / $29.40 / $92.85
| Professional | | $21.12 | $29.40 | $92.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.80 / $26.39 / $30.22
| Facility | | $19.80 | $26.39 | $30.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.60 / $29.40 / $83.85
| Professional | | $17.60 | $29.40 | $83.85 |