- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.53 / $120.18 / $463.45
| Facility | | $48.53 | $120.18 | $463.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.95 / $47.50 / $77.03
| Professional | | $35.95 | $47.50 | $77.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.61 / $192.57 / $359.46
| Facility | | $70.61 | $192.57 | $359.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $34.02 / $57.13
| Professional | | $5.00 | $34.02 | $57.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.19 / $99.49 / $234.23
| Facility | | $64.19 | $99.49 | $234.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.19 / $184.62 / $184.62
| Facility | | $64.19 | $184.62 | $184.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.04 / $128.29 / $272.70
| Facility | | $37.04 | $128.29 | $272.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.27 / $39.79 / $97.58
| Professional | | $27.27 | $39.79 | $97.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.70 / $304.89 / $304.89
| Facility | | $102.70 | $304.89 | $304.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.95 / $64.19 / $70.61
| Facility | | $35.95 | $64.19 | $70.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.56 / $64.19 / $64.19
| Professional | | $54.56 | $64.19 | $64.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.02 / $64.19 / $160.60
| Facility | | $34.02 | $64.19 | $160.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.36 / $43.51 / $81.83
| Professional | | $25.36 | $43.51 | $81.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.64 / $26.96 / $38.51
| Professional | | $22.64 | $26.96 | $38.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.03 / $25.68 / $64.19
| Professional | | $25.03 | $25.68 | $64.19 |