- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.40 / $78.95 / $178.29
| Facility | | $44.40 | $78.95 | $178.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.82 / $31.65 / $48.18
| Professional | | $24.82 | $31.65 | $48.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.01 / $49.44 / $109.87
| Facility | | $32.01 | $49.44 | $109.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $41.76 / $289.44
| Professional | | $21.05 | $41.76 | $289.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.39 / $94.86 / $171.85
| Facility | | $50.39 | $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
- $33.31 / $60.03 / $135.51
| Facility | | $33.31 | $60.03 | $135.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.15 / $37.79 / $94.92
| Professional | | $21.15 | $37.79 | $94.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.05 / $3,472.00 / $9,239.00
| Facility | | $63.05 | $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
- $35.52 / $58.72 / $60.61
| Facility | | $35.52 | $58.72 | $60.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.45 / $167.46 / $167.46
| Facility | | $73.45 | $167.46 | $167.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $27.10 / $289.44
| Professional | | $21.05 | $27.10 | $289.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.75 / $36.40 / $42.16
| Facility | | $28.75 | $36.40 | $42.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $21.83 / $66.88
| Professional | | $21.05 | $21.83 | $66.88 |