- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.82 / $69.34 / $126.40
| Facility | | $24.82 | $69.34 | $126.40 |
- 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 / $289.44
| Professional | | $21.05 | $41.76 | $289.44 |
- 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 / $33.32
| Professional | | $32.97 | $32.97 | $33.32 |
- 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
- $57.01 / $57.01 / $57.01
| Facility | | $57.01 | $57.01 | $57.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.45 / $217.00 / $217.00
| Facility | | $73.45 | $217.00 | $217.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $27.10 / $289.44
| Professional | | $21.05 | $27.10 | $289.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $21.83 / $72.52
| Professional | | $21.05 | $21.83 | $72.52 |