- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $79.43 / $141.25
| Facility | | $30.20 | $79.43 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $28.84 / $95.50
| Professional | | $22.91 | $28.84 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $44.67 / $162.18
| Facility | | $28.84 | $44.67 | $162.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $33.88 / $70.79
| Professional | | $20.42 | $33.88 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $77.62 / $112.20
| Facility | | $61.66 | $77.62 | $112.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $50.12 / $123.03
| Facility | | $25.12 | $50.12 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $41.69 / $54.95
| Professional | | $22.91 | $41.69 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.77 / $3,630.78 / $9,772.37
| Facility | | $46.77 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.98 / $48.98 / $57.54
| Professional | | $48.98 | $48.98 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $33.88 / $95.50
| Professional | | $33.88 | $33.88 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $44.67 / $162.18
| Facility | | $28.84 | $44.67 | $162.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $33.88 / $70.79
| Professional | | $20.42 | $33.88 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $33.11 / $51.29
| Professional | | $30.20 | $33.11 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $33.88 / $51.29
| Facility | | $18.20 | $33.88 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $27.54 / $75.86
| Professional | | $16.60 | $27.54 | $75.86 |