- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.51 / $125.93 / $193.66
| Facility | | $37.51 | $125.93 | $193.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.58 / $33.47 / $46.31
| Professional | | $29.58 | $33.47 | $46.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.79 / $27.79 / $27.79
| Professional | | $27.79 | $27.79 | $27.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $171.18 / $222.28 / $8,639.91
| Facility | | $171.18 | $222.28 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.11 / $36.11 / $36.11
| Professional | | $36.11 | $36.11 | $36.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.44 / $60.20 / $153.21
| Facility | | $30.44 | $60.20 | $153.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.28 / $52.41 / $69.26
| Professional | | $21.28 | $52.41 | $69.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.30 / $27.32 / $62.70
| Professional | | $21.30 | $27.32 | $62.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.22 / $91.37 / $230.61
| Facility | | $32.22 | $91.37 | $230.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.79 / $32.50 / $32.50
| Professional | | $27.79 | $32.50 | $32.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.36 / $125.93 / $193.66
| Facility | | $39.36 | $125.93 | $193.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.86 / $33.72 / $191.26
| Professional | | $28.86 | $33.72 | $191.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.00 / $61.67 / $153.21
| Facility | | $31.00 | $61.67 | $153.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.28 / $52.41 / $66.59
| Professional | | $21.28 | $52.41 | $66.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.31 / $46.31 / $46.31
| Facility | | $46.31 | $46.31 | $46.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.75 / $46.31 / $46.31
| Professional | | $40.75 | $46.31 | $46.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.45 / $27.79 / $78.73
| Professional | | $19.45 | $27.79 | $78.73 |