- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.40 / $264.37 / $652.19
| Facility | | $59.40 | $264.37 | $652.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.58 / $16.30 / $20.30
| Professional | | $13.58 | $16.30 | $20.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.97 / $128.00 / $241.21
| Facility | | $33.97 | $128.00 | $241.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.17 / $27.89 / $77.28
| Professional | | $14.17 | $27.89 | $77.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.51 / $250.42 / $413.78
| Facility | | $165.51 | $250.42 | $413.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.86 / $20.30 / $54.44
| Facility | | $1.86 | $20.30 | $54.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.80 / $23.95 / $29.94
| Professional | | $9.80 | $23.95 | $29.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.36 / $3,472.00 / $9,239.00
| Facility | | $45.36 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.46 / $28.46 / $33.49
| Professional | | $28.46 | $28.46 | $33.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.99 / $34.64 / $464.58
| Professional | | $24.99 | $34.64 | $464.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.95 / $69.58 / $183.68
| Facility | | $27.95 | $69.58 | $183.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.20 / $128.00 / $128.00
| Facility | | $39.20 | $128.00 | $128.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.88 / $17.54 / $43.72
| Professional | | $8.88 | $17.54 | $43.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $171.58 / $231.99 / $416.11
| Facility | | $171.58 | $231.99 | $416.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.40 / $18.66 / $121.17
| Professional | | $10.40 | $18.66 | $121.17 |