- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.84 / $144.91 / $543.20
| Facility | | $29.84 | $144.91 | $543.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.05 / $29.63 / $46.17
| Professional | | $26.05 | $29.63 | $46.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.01 / $235.88 / $8,459.92
| Facility | | $177.01 | $235.88 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.37 / $27.37 / $27.37
| Professional | | $27.37 | $27.37 | $27.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.29 / $53.31 / $116.27
| Facility | | $33.29 | $53.31 | $116.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.60 / $33.71 / $79.23
| Professional | | $20.60 | $33.71 | $79.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.88 / $47.37 / $66.67
| Professional | | $20.88 | $47.37 | $66.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.75 / $124.28 / $302.06
| Facility | | $65.75 | $124.28 | $302.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.81 / $121.07 / $526.40
| Facility | | $32.81 | $121.07 | $526.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.32 / $40.99 / $144.91
| Professional | | $26.32 | $40.99 | $144.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.50 / $49.40 / $58.30
| Professional | | $39.50 | $49.40 | $58.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.00 / $58.38 / $116.27
| Facility | | $34.00 | $58.38 | $116.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.05 / $37.64 / $79.23
| Professional | | $22.05 | $37.64 | $79.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.09 / $35.09 / $35.09
| Facility | | $35.09 | $35.09 | $35.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.09 / $35.09 / $35.79
| Professional | | $35.09 | $35.09 | $35.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.74 / $21.53 / $68.59
| Professional | | $14.74 | $21.53 | $68.59 |