- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.84 / $130.03 / $409.20
| Facility | | $58.84 | $130.03 | $409.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.82 / $45.30 / $180.84
| Professional | | $24.82 | $45.30 | $180.84 |
- 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 / $38.21 / $289.44
| Professional | | $21.05 | $38.21 | $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 / $33.32
| Professional | | $32.97 | $32.97 | $33.32 |
- 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 / $36.88 / $105.95
| Professional | | $21.15 | $36.88 | $105.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.76 / $83.43 / $6,679.00
| Facility | | $41.76 | $83.43 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.77 / $49.13 / $74.73
| Professional | | $38.77 | $49.13 | $74.73 |
- 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
- $41.32 / $126.00 / $195.24
| Facility | | $41.32 | $126.00 | $195.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.58 / $35.58 / $78.00
| Professional | | $35.58 | $35.58 | $78.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.06 / $167.46 / $167.46
| Facility | | $61.06 | $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
- $27.95 / $37.75 / $80.00
| Facility | | $27.95 | $37.75 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.88 / $34.03 / $52.64
| Professional | | $27.88 | $34.03 | $52.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $21.83 / $66.88
| Professional | | $21.05 | $21.83 | $66.88 |