- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.60 / $91.52 / $146.47
| Facility | | $27.60 | $91.52 | $146.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.07 / $19.55 / $23.90
| Professional | | $16.07 | $19.55 | $23.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.82 / $37.81 / $103.80
| Facility | | $19.82 | $37.81 | $103.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.43 / $21.73 / $52.93
| Professional | | $10.43 | $21.73 | $52.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.07 / $60.62 / $105.98
| Facility | | $38.07 | $60.62 | $105.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.43 / $20.43 / $27.81
| Professional | | $20.43 | $20.43 | $27.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.19 / $32.26 / $74.26
| Facility | | $15.19 | $32.26 | $74.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.11 / $24.02 / $36.61
| Professional | | $13.11 | $24.02 | $36.61 |
- 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
- $31.27 / $31.27 / $36.78
| Professional | | $31.27 | $31.27 | $36.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.73 / $30.12 / $80.90
| Professional | | $21.73 | $30.12 | $80.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.01 / $28.02 / $130.41
| Facility | | $24.01 | $28.02 | $130.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.81 / $103.80 / $103.80
| Facility | | $37.81 | $103.80 | $103.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $13.04 / $45.87
| Professional | | $3.15 | $13.04 | $45.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.01 / $26.08 / $48.33
| Facility | | $21.01 | $26.08 | $48.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.16 / $22.41 / $27.49
| Professional | | $19.16 | $22.41 | $27.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $13.04 / $51.82
| Professional | | $3.15 | $13.04 | $51.82 |