- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.59 / $106.05 / $163.11
| Facility | | $31.59 | $106.05 | $163.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.55 / $31.59 / $161.07
| Professional | | $17.55 | $31.59 | $161.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.85 / $128.37 / $8,639.91
| Facility | | $98.85 | $128.37 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.42 / $30.42 / $30.42
| Professional | | $30.42 | $30.42 | $30.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.35 / $50.67 / $113.30
| Facility | | $25.35 | $50.67 | $113.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.27 / $37.45 / $56.27
| Professional | | $12.27 | $37.45 | $56.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.94 / $23.01 / $52.81
| Professional | | $17.94 | $23.01 | $52.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $330.45 / $330.45 / $330.45
| Facility | | $330.45 | $330.45 | $330.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.15 / $106.05 / $174.06
| Facility | | $33.15 | $106.05 | $174.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.57 / $31.98 / $161.07
| Professional | | $24.57 | $31.98 | $161.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.35 / $50.70 / $129.31
| Facility | | $25.35 | $50.70 | $129.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.27 / $37.45 / $56.27
| Professional | | $12.27 | $37.45 | $56.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.00 / $39.00 / $39.00
| Facility | | $39.00 | $39.00 | $39.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.90 / $39.00 / $39.00
| Professional | | $27.90 | $39.00 | $39.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $23.40 / $58.50
| Professional | | $12.88 | $23.40 | $58.50 |