- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.09 / $99.02 / $379.89
| Facility | | $35.09 | $99.02 | $379.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.82 / $29.69 / $52.04
| Professional | | $24.82 | $29.69 | $52.04 |
- 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 / $397.98
| Professional | | $21.05 | $41.76 | $397.98 |
- 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
- $42.93 / $57.01 / $82.81
| Facility | | $42.93 | $57.01 | $82.81 |
- 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 / $397.98
| Professional | | $21.05 | $27.10 | $397.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $21.83 / $68.59
| Professional | | $21.05 | $21.83 | $68.59 |