- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.05 / $75.73 / $166.38
| Facility | | $28.05 | $75.73 | $166.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.61 / $27.61 / $32.26
| Professional | | $26.61 | $27.61 | $32.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.26 / $59.74 / $217.00
| Facility | | $28.26 | $59.74 | $217.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.59 / $30.98 / $75.45
| Professional | | $18.59 | $30.98 | $75.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.53 / $86.83 / $151.80
| Facility | | $54.53 | $86.83 | $151.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.12 / $29.12 / $39.63
| Professional | | $29.12 | $29.12 | $39.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.65 / $46.00 / $105.85
| Facility | | $21.65 | $46.00 | $105.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.73 / $34.25 / $52.43
| Professional | | $18.73 | $34.25 | $52.43 |
- 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
- $44.81 / $44.81 / $52.72
| Professional | | $44.81 | $44.81 | $52.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.98 / $42.94 / $115.34
| Professional | | $30.98 | $42.94 | $115.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.85 / $36.49 / $66.47
| Facility | | $27.85 | $36.49 | $66.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.74 / $217.00 / $217.00
| Facility | | $59.74 | $217.00 | $217.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.87 / $20.77 / $65.39
| Professional | | $14.87 | $20.77 | $65.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.87 / $18.59 / $65.39
| Professional | | $14.87 | $18.59 | $65.39 |