- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.15 / $128.69 / $250.71
| Facility | | $36.15 | $128.69 | $250.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.47 / $42.28 / $42.60
| Professional | | $27.47 | $42.28 | $42.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.86 / $66.20 / $224.07
| Facility | | $42.86 | $66.20 | $224.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.79 / $41.43 / $98.10
| Professional | | $18.79 | $41.43 | $98.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.20 / $127.28 / $230.58
| Facility | | $25.20 | $127.28 | $230.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.60 / $44.16 / $46.51
| Professional | | $17.60 | $44.16 | $46.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.88 / $68.54 / $160.53
| Facility | | $30.88 | $68.54 | $160.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.20 / $43.63 / $79.55
| Professional | | $15.20 | $43.63 | $79.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.56 / $3,472.00 / $9,239.00
| Facility | | $39.56 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.67 / $67.67 / $79.62
| Professional | | $67.67 | $67.67 | $79.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.98 / $50.60 / $167.56
| Professional | | $46.98 | $50.60 | $167.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.98 / $58.94 / $125.73
| Facility | | $17.98 | $58.94 | $125.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.75 / $224.07 / $224.07
| Facility | | $81.75 | $224.07 | $224.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.53 / $28.19 / $78.78
| Professional | | $11.53 | $28.19 | $78.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.19 / $19.23 / $66.73
| Facility | | $14.19 | $19.23 | $66.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.53 / $28.19 / $78.78
| Professional | | $11.53 | $28.19 | $78.78 |