- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.49 / $139.91 / $155.30
| Facility | | $27.49 | $139.91 | $155.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.81 / $29.58 / $39.03
| Professional | | $26.81 | $29.58 | $39.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $171.18 / $222.28 / $8,639.91
| Facility | | $171.18 | $222.28 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.47 / $26.47 / $26.47
| Professional | | $26.47 | $26.47 | $26.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.31 / $45.19 / $113.01
| Facility | | $22.31 | $45.19 | $113.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.28 / $39.24 / $59.66
| Professional | | $21.28 | $39.24 | $59.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.61 / $27.15 / $45.95
| Professional | | $15.61 | $27.15 | $45.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.72 / $79.61 / $174.93
| Facility | | $44.72 | $79.61 | $174.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.85 / $28.85 / $32.50
| Professional | | $28.85 | $28.85 | $32.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.49 / $92.92 / $185.50
| Facility | | $27.49 | $92.92 | $185.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.27 / $29.58 / $140.16
| Professional | | $26.27 | $29.58 | $140.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.72 / $51.56 / $113.01
| Facility | | $22.72 | $51.56 | $113.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.28 / $39.24 / $59.66
| Professional | | $21.28 | $39.24 | $59.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.94 / $33.94 / $33.94
| Facility | | $33.94 | $33.94 | $33.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.87 / $33.94 / $48.32
| Professional | | $29.87 | $33.94 | $48.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.25 / $20.82 / $59.47
| Professional | | $14.25 | $20.82 | $59.47 |