- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.61 / $150.99 / $924.70
| Facility | | $29.61 | $150.99 | $924.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.88 / $29.98 / $150.99
| Professional | | $28.88 | $29.98 | $150.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $284.74 / $369.75 / $8,639.91
| Facility | | $284.74 | $369.75 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.52 / $28.52 / $28.52
| Professional | | $28.52 | $28.52 | $28.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.54 / $51.39 / $121.70
| Facility | | $25.54 | $51.39 | $121.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.25 / $42.13 / $99.02
| Professional | | $35.25 | $42.13 | $99.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.82 / $21.57 / $63.77
| Professional | | $16.82 | $21.57 | $63.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.98 / $280.08 / $514.19
| Facility | | $71.98 | $280.08 | $514.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.08 / $137.10 / $871.86
| Facility | | $31.08 | $137.10 | $871.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.52 / $35.10 / $150.99
| Professional | | $28.52 | $35.10 | $150.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.54 / $59.06 / $121.70
| Facility | | $25.54 | $59.06 | $121.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.25 / $42.13 / $99.02
| Professional | | $35.25 | $42.13 | $99.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.56 / $36.56 / $36.56
| Facility | | $36.56 | $36.56 | $36.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.17 / $36.56 / $80.37
| Professional | | $32.17 | $36.56 | $80.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.45 / $34.29 / $74.94
| Professional | | $16.45 | $34.29 | $74.94 |