- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.83 / $121.80 / $242.22
| Facility | | $51.83 | $121.80 | $242.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.82 / $40.59 / $126.70
| Professional | | $24.82 | $40.59 | $126.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.01 / $49.44 / $116.69
| Facility | | $32.01 | $49.44 | $116.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.36 / $37.27 / $147.80
| Professional | | $22.36 | $37.27 | $147.80 |
- 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
- $33.32 / $35.03 / $35.03
| Professional | | $33.32 | $35.03 | $35.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.16 / $69.91 / $135.51
| Facility | | $28.16 | $69.91 | $135.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.46 / $39.43 / $97.43
| Professional | | $22.46 | $39.43 | $97.43 |
- 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
- $53.68 / $53.68 / $63.15
| Professional | | $53.68 | $53.68 | $63.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.27 / $37.27 / $115.42
| Professional | | $37.27 | $37.27 | $115.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.32 / $77.78 / $152.28
| Facility | | $41.32 | $77.78 | $152.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.13 / $177.03 / $177.03
| Facility | | $70.13 | $177.03 | $177.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.65 / $22.39 / $194.24
| Professional | | $15.65 | $22.39 | $194.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.65 / $22.36 / $70.38
| Professional | | $15.65 | $22.36 | $70.38 |