- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.43 / $92.07 / $141.62
| Facility | | $27.43 | $92.07 | $141.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.22 / $27.43 / $32.51
| Professional | | $22.22 | $27.43 | $32.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.17 / $162.54 / $8,639.91
| Facility | | $125.17 | $162.54 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.41 / $26.41 / $26.41
| Professional | | $26.41 | $26.41 | $26.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.25 / $44.02 / $111.92
| Facility | | $22.25 | $44.02 | $111.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.89 / $38.26 / $50.65
| Professional | | $15.89 | $38.26 | $50.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.58 / $19.98 / $45.85
| Professional | | $15.58 | $19.98 | $45.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.53 / $79.43 / $262.86
| Facility | | $78.53 | $79.43 | $262.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.78 / $92.07 / $141.62
| Facility | | $28.78 | $92.07 | $141.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.22 / $27.43 / $139.84
| Professional | | $22.22 | $27.43 | $139.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.67 / $45.09 / $111.92
| Facility | | $22.67 | $45.09 | $111.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.53 / $38.26 / $49.04
| Professional | | $15.53 | $38.26 | $49.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.86 / $33.86 / $33.86
| Facility | | $33.86 | $33.86 | $33.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.80 / $33.86 / $33.86
| Professional | | $29.80 | $33.86 | $33.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.22 / $20.99 / $57.56
| Professional | | $15.22 | $20.99 | $57.56 |