- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.65 / $119.73 / $192.56
| Facility | | $35.65 | $119.73 | $192.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.16 / $35.65 / $181.84
| Professional | | $16.16 | $35.65 | $181.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.08 / $118.27 / $8,639.91
| Facility | | $91.08 | $118.27 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.34 / $34.34 / $34.34
| Professional | | $34.34 | $34.34 | $34.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.62 / $57.21 / $127.91
| Facility | | $28.62 | $57.21 | $127.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.34 / $42.18 / $62.98
| Professional | | $11.34 | $42.18 | $62.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.25 / $25.98 / $59.62
| Professional | | $20.25 | $25.98 | $59.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.11 / $128.11 / $2,740.33
| Facility | | $128.11 | $128.11 | $2,740.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.43 / $119.73 / $184.13
| Facility | | $37.43 | $119.73 | $184.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.74 / $36.10 / $181.84
| Professional | | $27.74 | $36.10 | $181.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.42 / $57.24 / $145.60
| Facility | | $27.42 | $57.24 | $145.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.34 / $42.18 / $62.98
| Professional | | $11.34 | $42.18 | $62.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.03 / $44.03 / $44.03
| Facility | | $44.03 | $44.03 | $44.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.71 / $44.03 / $44.03
| Professional | | $25.71 | $44.03 | $44.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.60 / $25.23 / $66.05
| Professional | | $12.60 | $25.23 | $66.05 |