- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.82 / $99.02 / $263.08
| Facility | | $24.82 | $99.02 | $263.08 |
- 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 / $36.84 / $288.64
| Professional | | $21.05 | $36.84 | $288.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.95 / $94.86 / $171.85
| Facility | | $50.95 | $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
- $28.16 / $60.03 / $135.51
| Facility | | $28.16 | $60.03 | $135.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.15 / $36.88 / $94.92
| Professional | | $21.15 | $36.88 | $94.92 |
- 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
- $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
- $100.50 / $100.50 / $100.50
| Facility | | $100.50 | $100.50 | $100.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.33 / $167.46 / $167.46
| Facility | | $73.33 | $167.46 | $167.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $22.46 / $288.64
| Professional | | $21.05 | $22.46 | $288.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $21.83 / $72.52
| Professional | | $21.05 | $21.83 | $72.52 |