- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.54 / $45.23 / $205.26
| Facility | | $7.54 | $45.23 | $205.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.22 / $45.23 / $68.88
| Professional | | $45.22 | $45.23 | $68.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $172.28 / $220.90 / $278.95
| Facility | | $172.28 | $220.90 | $278.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.93 / $35.33 / $35.33
| Professional | | $25.93 | $35.33 | $35.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.89 / $146.55 / $219.37
| Professional | | $95.89 | $146.55 | $219.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.96 / $55.56 / $181.19
| Facility | | $22.96 | $55.56 | $181.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.22 / $40.60 / $45.23
| Professional | | $22.22 | $40.60 | $45.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.40 / $44.16 / $52.29
| Professional | | $42.40 | $44.16 | $52.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.33 / $45.23 / $45.23
| Facility | | $35.33 | $45.23 | $45.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.09 / $42.10 / $94.98
| Professional | | $37.09 | $42.10 | $94.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.74 / $47.09 / $193.01
| Facility | | $30.74 | $47.09 | $193.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.66 / $52.01 / $4,071.00
| Professional | | $31.66 | $52.01 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.64 / $35.64 / $68.06
| Facility | | $35.64 | $35.64 | $68.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.84 / $20.35 / $44.71
| Professional | | $17.84 | $20.35 | $44.71 |