- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.42 / $99.47 / $146.75
| Facility | | $28.42 | $99.47 | $146.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.97 / $28.77 / $122.82
| Professional | | $25.97 | $28.77 | $122.82 |
- 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
- $46.23 / $55.40 / $61.67
| Facility | | $46.23 | $55.40 | $61.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.42 / $99.47 / $146.75
| Facility | | $28.42 | $99.47 | $146.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.97 / $40.35 / $144.91
| Professional | | $25.97 | $40.35 | $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 / $21.05 / $57.46
| Professional | | $14.74 | $21.05 | $57.46 |