- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.53 / $83.33 / $185.98
| Facility | | $29.53 | $83.33 | $185.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.74 / $26.37 / $28.13
| Professional | | $25.74 | $26.37 | $28.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.94 / $51.38 / $198.00
| Facility | | $26.94 | $51.38 | $198.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.72 / $29.53 / $71.93
| Professional | | $17.72 | $29.53 | $71.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.96 / $82.74 / $144.65
| Facility | | $51.96 | $82.74 | $144.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.76 / $27.76 / $37.78
| Professional | | $27.76 | $27.76 | $37.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.64 / $43.87 / $100.92
| Facility | | $20.64 | $43.87 | $100.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.69 / $32.65 / $50.17
| Professional | | $17.69 | $32.65 | $50.17 |
- 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
- $42.47 / $42.47 / $49.97
| Professional | | $42.47 | $42.47 | $49.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.53 / $40.93 / $109.91
| Professional | | $29.53 | $40.93 | $109.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.55 / $38.47 / $139.33
| Facility | | $26.55 | $38.47 | $139.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.38 / $198.00 / $198.00
| Facility | | $51.38 | $198.00 | $198.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.17 / $19.80 / $62.34
| Professional | | $14.17 | $19.80 | $62.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $75.00 / $75.00
| Facility | | $75.00 | $75.00 | $75.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.17 / $19.80 / $62.34
| Professional | | $14.17 | $19.80 | $62.34 |