- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $426.58 / $676.08
| Facility | | $28.18 | $426.58 | $676.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $25.12 / $38.90
| Professional | | $19.05 | $25.12 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $114.82 / $269.15
| Facility | | $24.55 | $114.82 | $269.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $32.36 / $91.20
| Professional | | $8.91 | $32.36 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $208.93 / $295.12
| Facility | | $165.96 | $208.93 | $295.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.29 / $28.18 / $72.44
| Facility | | $2.29 | $28.18 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $31.62 / $39.81
| Professional | | $13.80 | $31.62 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $4,897.79 / $9,772.37
| Facility | | $83.18 | $4,897.79 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $38.02 / $44.67
| Professional | | $38.02 | $38.02 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $69.18
| Professional | | $32.36 | $32.36 | $69.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $47.86 / $154.88
| Facility | | $28.18 | $47.86 | $154.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $114.82 / $269.15
| Facility | | $24.55 | $114.82 | $269.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $32.36 / $93.33
| Professional | | $8.91 | $32.36 | $93.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $123.03 / $489.78
| Facility | | $12.30 | $123.03 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $23.44 / $89.13
| Professional | | $3.16 | $23.44 | $89.13 |