- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.76 / $206.05 / $468.39
| Facility | | $48.76 | $206.05 | $468.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.13 / $38.86 / $108.58
| Professional | | $22.13 | $38.86 | $108.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.76 / $100.73 / $312.00
| Facility | | $44.76 | $100.73 | $312.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.62 / $36.82 / $107.10
| Professional | | $20.62 | $36.82 | $107.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.50 / $100.00 / $523.22
| Facility | | $57.50 | $100.00 | $523.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.88 / $36.97 / $113.12
| Professional | | $25.88 | $36.97 | $113.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.67 / $71.65 / $145.36
| Facility | | $30.67 | $71.65 | $145.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.37 / $45.03 / $205.36
| Professional | | $27.37 | $45.03 | $205.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.11 / $42.69 / $56.38
| Professional | | $37.11 | $42.69 | $56.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.58 / $48.02 / $94.64
| Professional | | $37.58 | $48.02 | $94.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.90 / $199.32 / $199.32
| Facility | | $73.90 | $199.32 | $199.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $313.20 / $343.25 / $343.25
| Professional | | $313.20 | $343.25 | $343.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.11 / $50.11 / $50.11
| Professional | | $50.11 | $50.11 | $50.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.51 / $69.73 / $129.47
| Facility | | $40.51 | $69.73 | $129.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.76 / $52.20 / $128.11
| Professional | | $30.76 | $52.20 | $128.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $146.57 / $146.57 / $146.57
| Professional | | $146.57 | $146.57 | $146.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.40 / $42.60 / $70.98
| Professional | | $33.40 | $42.60 | $70.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.54 / $25.06 / $86.70
| Professional | | $17.54 | $25.06 | $86.70 |