- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.22 / $110.86 / $312.68
| Facility | | $46.22 | $110.86 | $312.68 |
- 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
- $67.40 / $195.14 / $360.11
| Facility | | $67.40 | $195.14 | $360.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $89.87 / $95.00
| Professional | | $5.50 | $89.87 | $95.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.20 / $64.19 / $64.19
| Facility | | $34.20 | $64.19 | $64.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.48 / $125.50 / $272.70
| Facility | | $28.48 | $125.50 | $272.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.45 / $34.02 / $97.38
| Professional | | $20.45 | $34.02 | $97.38 |
- 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
- $34.95 / $64.19 / $70.61
| Facility | | $34.95 | $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
- $32.10 / $64.19 / $149.40
| Facility | | $32.10 | $64.19 | $149.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.02 / $34.02 / $64.19
| Professional | | $19.02 | $34.02 | $64.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.11 / $26.96 / $64.19
| Facility | | $23.11 | $26.96 | $64.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $26.96 / $38.51
| Professional | | $16.98 | $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 |