- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.82 / $80.70 / $168.21
| Facility | | $24.82 | $80.70 | $168.21 |
- 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 / $325.62
| Professional | | $21.05 | $41.76 | $325.62 |
- 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
- $41.32 / $41.32 / $57.58
| Facility | | $41.32 | $41.32 | $57.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.06 / $206.00 / $206.00
| Facility | | $61.06 | $206.00 | $206.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $27.10 / $325.62
| Professional | | $21.05 | $27.10 | $325.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $21.83 / $67.41
| Professional | | $21.05 | $21.83 | $67.41 |