- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.22 / $81.64 / $228.81
| Facility | | $31.22 | $81.64 | $228.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.10 / $34.47 / $64.67
| Professional | | $26.10 | $34.47 | $64.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.50 / $25.63
| Professional | | $5.00 | $5.50 | $25.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.60 / $46.60 / $80.00
| Facility | | $46.60 | $46.60 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.92 / $185.27 / $710.08
| Facility | | $66.92 | $185.27 | $710.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.04 / $44.43 / $73.55
| Professional | | $24.04 | $44.43 | $73.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.56 / $221.35 / $221.35
| Facility | | $74.56 | $221.35 | $221.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $233.00 / $233.00 / $349.50
| Professional | | $233.00 | $233.00 | $349.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.43 / $46.60 / $74.20
| Facility | | $28.43 | $46.60 | $74.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.60 / $46.60 / $58.25
| Professional | | $46.60 | $46.60 | $58.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.29 / $55.92 / $104.85
| Professional | | $30.29 | $55.92 | $104.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.61 / $64.77 / $274.58
| Facility | | $32.61 | $64.77 | $274.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.30 / $54.26 / $83.23
| Professional | | $24.30 | $54.26 | $83.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.57 / $22.20 / $31.71
| Professional | | $19.57 | $22.20 | $31.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.17 / $46.60 / $62.91
| Professional | | $18.17 | $46.60 | $62.91 |