- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.33 / $123.57 / $202.26
| Facility | | $45.33 | $123.57 | $202.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.92 / $45.33 / $81.44
| Professional | | $42.92 | $45.33 | $81.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.41 / $82.81 / $227.61
| Facility | | $43.41 | $82.81 | $227.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.84 / $47.59 / $115.92
| Professional | | $22.84 | $47.59 | $115.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.85 / $133.52 / $233.43
| Facility | | $83.85 | $133.52 | $233.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.73 / $44.73 / $60.87
| Professional | | $44.73 | $44.73 | $60.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.26 / $70.65 / $162.60
| Facility | | $33.26 | $70.65 | $162.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.73 / $52.61 / $80.45
| Professional | | $28.73 | $52.61 | $80.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.39 / $3,472.00 / $9,239.00
| Facility | | $68.39 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.61 / $68.61 / $80.72
| Professional | | $68.61 | $68.61 | $80.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.59 / $65.95 / $177.15
| Professional | | $47.59 | $65.95 | $177.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.81 / $227.61 / $227.61
| Facility | | $82.81 | $227.61 | $227.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $28.55 / $100.46
| Professional | | $5.25 | $28.55 | $100.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $28.55 / $90.71
| Professional | | $5.25 | $28.55 | $90.71 |