- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.16 / $91.20 / $260.70
| Facility | | $43.16 | $91.20 | $260.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.82 / $26.30 / $40.59
| Professional | | $24.82 | $26.30 | $40.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.01 / $61.06 / $166.68
| Facility | | $32.01 | $61.06 | $166.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $35.06 / $131.76
| Professional | | $21.05 | $35.06 | $131.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.23 / $94.86 / $171.85
| Facility | | $52.23 | $94.86 | $171.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.97 / $32.97 / $34.74
| Professional | | $32.97 | $32.97 | $34.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.52 / $54.75 / $135.51
| Facility | | $24.52 | $54.75 | $135.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.02 / $37.50 / $91.12
| Professional | | $21.02 | $37.50 | $91.12 |
- 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
- $50.42 / $50.42 / $59.31
| Professional | | $50.42 | $50.42 | $59.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.09 / $35.09 / $108.67
| Professional | | $35.09 | $35.09 | $108.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.18 / $45.29 / $227.06
| Facility | | $33.18 | $45.29 | $227.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.06 / $166.68 / $166.68
| Facility | | $61.06 | $166.68 | $166.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.04 / $21.05 / $194.24
| Professional | | $14.04 | $21.05 | $194.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.62 / $30.94 / $52.64
| Professional | | $26.62 | $30.94 | $52.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.74 / $21.05 / $62.84
| Professional | | $14.74 | $21.05 | $62.84 |