- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.65 / $97.52 / $222.10
| Facility | | $41.65 | $97.52 | $222.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.52 / $30.48 / $32.26
| Professional | | $29.52 | $30.48 | $32.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.89 / $71.05 / $161.58
| Facility | | $30.89 | $71.05 | $161.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.32 / $33.86 / $82.48
| Professional | | $20.32 | $33.86 | $82.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.45 / $100.54 / $166.13
| Facility | | $66.45 | $100.54 | $166.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.83 / $31.83 / $43.32
| Professional | | $31.83 | $31.83 | $43.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.66 / $51.10 / $115.71
| Facility | | $23.66 | $51.10 | $115.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.39 / $31.53 / $57.40
| Professional | | $20.39 | $31.53 | $57.40 |
- 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
- $49.01 / $49.01 / $57.66
| Professional | | $49.01 | $49.01 | $57.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.86 / $46.93 / $126.03
| Professional | | $33.86 | $46.93 | $126.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.03 / $44.13 / $75.47
| Facility | | $32.03 | $44.13 | $75.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.05 / $161.58 / $161.58
| Facility | | $71.05 | $161.58 | $161.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.24 / $20.32 / $71.48
| Professional | | $15.24 | $20.32 | $71.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.54 / $38.07 / $55.19
| Facility | | $34.54 | $38.07 | $55.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.22 / $20.32 / $64.54
| Professional | | $14.22 | $20.32 | $64.54 |