- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.03 / $132.49 / $212.05
| Facility | | $30.03 | $132.49 | $212.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.62 / $31.56 / $35.33
| Professional | | $28.62 | $31.56 | $35.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178.19 / $231.39 / $8,639.91
| Facility | | $178.19 | $231.39 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.56 / $27.56 / $27.56
| Professional | | $27.56 | $27.56 | $27.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.22 / $47.04 / $117.35
| Facility | | $23.22 | $47.04 | $117.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.21 / $40.47 / $61.78
| Professional | | $22.21 | $40.47 | $61.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.25 / $20.84 / $47.84
| Professional | | $16.25 | $20.84 | $47.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.83 / $87.37 / $301.27
| Facility | | $56.83 | $87.37 | $301.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.60 / $34.00 / $34.00
| Professional | | $27.60 | $34.00 | $34.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.03 / $96.74 / $182.09
| Facility | | $33.03 | $96.74 | $182.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.44 / $31.63 / $145.91
| Professional | | $25.44 | $31.63 | $145.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.65 / $53.67 / $117.35
| Facility | | $23.65 | $53.67 | $117.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.21 / $40.47 / $61.78
| Professional | | $22.21 | $40.47 | $61.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.33 / $35.33 / $35.33
| Facility | | $35.33 | $35.33 | $35.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.09 / $35.33 / $50.29
| Professional | | $31.09 | $35.33 | $50.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.84 / $21.90 / $64.65
| Professional | | $14.84 | $21.90 | $64.65 |