- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $89.13 / $281.84
| Facility | | $38.02 | $89.13 | $281.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $43.65 / $125.89
| Professional | | $33.88 | $43.65 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $30.20 / $38.02
| Professional | | $5.01 | $30.20 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.70 / $53.70 / $53.70
| Facility | | $53.70 | $53.70 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $107.15 / $229.09
| Facility | | $43.65 | $107.15 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $51.29 / $93.33
| Professional | | $27.54 | $51.29 | $93.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $257.04 / $257.04
| Facility | | $257.04 | $257.04 | $257.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $53.70 / $102.33
| Facility | | $40.74 | $53.70 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $45.71 / $64.57
| Professional | | $32.36 | $45.71 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $40.74 / $40.74
| Professional | | $40.74 | $40.74 | $40.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $53.70 / $151.36
| Facility | | $40.74 | $53.70 | $151.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $48.98 / $93.33
| Professional | | $27.54 | $48.98 | $93.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $30.20 / $53.70
| Facility | | $19.50 | $30.20 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $22.91 / $53.70
| Professional | | $22.91 | $22.91 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $21.38 / $53.70
| Professional | | $21.38 | $21.38 | $53.70 |