- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $109.65 / $234.42
| Facility | | $7.08 | $109.65 | $234.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $61.66 / $186.21
| Professional | | $7.08 | $61.66 | $186.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $89.13 / $380.19
| Facility | | $38.02 | $89.13 | $380.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $70.79 / $165.96
| Professional | | $6.31 | $70.79 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.82 / $158.49 / $229.09
| Facility | | $128.82 | $158.49 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $75.86 / $79.43
| Professional | | $9.55 | $75.86 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $33.11 / $128.82
| Facility | | $8.32 | $33.11 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $93.33 / $123.03
| Professional | | $6.61 | $93.33 | $123.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $3,630.78 / $9,772.37
| Facility | | $7.59 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $117.49 / $117.49 / $138.04
| Professional | | $117.49 | $117.49 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $81.28 / $173.78
| Professional | | $47.86 | $81.28 | $173.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $89.13 / $380.19
| Facility | | $38.02 | $89.13 | $380.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $70.79 / $165.96
| Professional | | $6.31 | $70.79 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.31 / $47.86 / $81.28
| Facility | | $6.31 | $47.86 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $38.90 / $81.28
| Professional | | $6.31 | $38.90 | $81.28 |