- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.63 / $140.77 / $298.75
| Facility | | $60.63 | $140.77 | $298.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.58 / $36.79
| Professional | | $32.36 | $33.58 | $36.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.22 / $67.20 / $183.99
| Facility | | $35.22 | $67.20 | $183.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.17 / $38.61 / $94.07
| Professional | | $23.17 | $38.61 | $94.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.90 / $108.12 / $189.03
| Facility | | $67.90 | $108.12 | $189.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.29 / $36.29 / $49.41
| Professional | | $36.29 | $36.29 | $49.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.98 / $57.37 / $132.00
| Facility | | $26.98 | $57.37 | $132.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.31 / $42.70 / $65.54
| Professional | | $23.31 | $42.70 | $65.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.54 / $55.54 / $65.34
| Professional | | $55.54 | $55.54 | $65.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.61 / $53.53 / $143.75
| Professional | | $38.61 | $53.53 | $143.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.11 / $51.05 / $225.00
| Facility | | $45.11 | $51.05 | $225.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.20 / $183.99 / $183.99
| Facility | | $67.20 | $183.99 | $183.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.54 / $25.91 / $81.53
| Professional | | $18.54 | $25.91 | $81.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.61 / $46.17 / $63.35
| Facility | | $38.61 | $46.17 | $63.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $25.91 / $73.61
| Professional | | $17.38 | $25.91 | $73.61 |