- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.72 / $108.86 / $187.43
| Facility | | $32.72 | $108.86 | $187.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.98 / $32.72 / $68.64
| Professional | | $30.98 | $32.72 | $68.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.44 / $107.01 / $292.13
| Facility | | $45.44 | $107.01 | $292.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.04 / $54.24 / $128.41
| Professional | | $23.04 | $54.24 | $128.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.06 / $140.07 / $244.88
| Facility | | $68.06 | $140.07 | $244.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.95 / $57.81 / $60.89
| Professional | | $43.95 | $57.81 | $60.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.97 / $68.45 / $132.65
| Facility | | $37.97 | $68.45 | $132.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.11 / $37.97 / $93.44
| Professional | | $25.11 | $37.97 | $93.44 |
- 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
- $88.69 / $88.69 / $104.34
| Professional | | $88.69 | $88.69 | $104.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.50 / $85.24 / $198.03
| Professional | | $61.50 | $85.24 | $198.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.95 / $75.95 / $75.95
| Facility | | $75.95 | $75.95 | $75.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.01 / $292.13 / $292.13
| Facility | | $107.01 | $292.13 | $292.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.60 / $36.90 / $72.53
| Professional | | $12.60 | $36.90 | $72.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.60 / $36.90 / $72.53
| Professional | | $12.60 | $36.90 | $72.53 |