- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.27 / $144.00 / $195.63
| Facility | | $28.27 | $144.00 | $195.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.77 / $28.27 / $75.47
| Professional | | $26.77 | $28.27 | $75.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.43 / $94.53 / $304.89
| Facility | | $47.43 | $94.53 | $304.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.48 / $56.61 / $156.35
| Professional | | $24.48 | $56.61 | $156.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.12 / $140.69 / $254.90
| Facility | | $57.12 | $140.69 | $254.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.97 / $60.34 / $63.55
| Professional | | $37.97 | $60.34 | $63.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.38 / $63.09 / $114.59
| Facility | | $36.38 | $63.09 | $114.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.82 / $54.24 / $97.58
| Professional | | $22.82 | $54.24 | $97.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.41 / $92.41 / $108.72
| Professional | | $92.41 | $92.41 | $108.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.19 / $88.74 / $206.69
| Professional | | $64.19 | $88.74 | $206.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $111.69 / $304.89 / $304.89
| Facility | | $111.69 | $304.89 | $304.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.28 / $38.51 / $70.75
| Professional | | $14.28 | $38.51 | $70.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.77 / $64.19 / $77.03
| Facility | | $57.77 | $64.19 | $77.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.28 / $38.51 / $64.19
| Professional | | $14.28 | $38.51 | $64.19 |