- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.89 / $63.10 / $114.82
| Facility | | $20.89 | $63.10 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $26.92 / $72.44
| Professional | | $10.00 | $26.92 | $72.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $40.74 / $169.82
| Facility | | $26.30 | $40.74 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $31.62 / $74.13
| Professional | | $14.45 | $31.62 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $70.79 / $102.33
| Facility | | $56.23 | $70.79 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $33.88 / $34.67
| Professional | | $14.13 | $33.88 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $46.77 / $102.33
| Facility | | $25.12 | $46.77 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $43.65 / $53.70
| Professional | | $20.42 | $43.65 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $3,630.78 / $9,772.37
| Facility | | $15.49 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $51.29 / $60.26
| Professional | | $51.29 | $51.29 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $35.48 / $75.86
| Professional | | $35.48 | $35.48 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $77.62 / $83.18
| Facility | | $66.07 | $77.62 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $40.74 / $169.82
| Facility | | $26.30 | $40.74 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $33.11 / $74.13
| Professional | | $14.45 | $33.11 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $17.38 / $36.31
| Facility | | $11.22 | $17.38 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $35.48 / $43.65
| Facility | | $16.22 | $35.48 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $21.38 / $48.98
| Professional | | $9.12 | $21.38 | $48.98 |