- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $87.10 / $186.21
| Facility | | $29.51 | $87.10 | $186.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $26.30 / $79.43
| Professional | | $20.89 | $26.30 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $41.69 / $199.53
| Facility | | $26.92 | $41.69 | $199.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $29.51 / $61.66
| Professional | | $17.78 | $29.51 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.54 / $72.44 / $114.82
| Facility | | $57.54 | $72.44 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $27.54 / $38.02
| Professional | | $27.54 | $27.54 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $46.77 / $114.82
| Facility | | $22.91 | $46.77 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $36.31 / $50.12
| Professional | | $21.38 | $36.31 | $50.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $3,630.78 / $9,772.37
| Facility | | $42.66 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.66 / $42.66 / $50.12
| Professional | | $42.66 | $42.66 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.51 / $29.51 / $89.13
| Professional | | $29.51 | $29.51 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $38.90 / $67.61
| Facility | | $26.30 | $38.90 | $67.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $41.69 / $199.53
| Facility | | $26.92 | $41.69 | $199.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $29.51 / $61.66
| Professional | | $17.78 | $29.51 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $29.51 / $48.98
| Facility | | $16.98 | $29.51 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $26.30 / $70.79
| Professional | | $14.79 | $26.30 | $70.79 |