- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.82 / $85.39 / $147.02
| Facility | | $24.82 | $85.39 | $147.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.82 / $31.65 / $53.06
| Professional | | $24.82 | $31.65 | $53.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.64 / $55.16 / $147.71
| Facility | | $35.64 | $55.16 | $147.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.39 / $51.42 / $289.44
| Professional | | $22.39 | $51.42 | $289.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.39 / $105.93 / $191.90
| Facility | | $50.39 | $105.93 | $191.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.32 / $45.35 / $47.76
| Professional | | $33.32 | $45.35 | $47.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.13 / $66.84 / $135.51
| Facility | | $36.13 | $66.84 | $135.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.54 / $47.61 / $125.40
| Professional | | $25.54 | $47.61 | $125.40 |
- 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
- $69.55 / $69.55 / $81.81
| Professional | | $69.55 | $69.55 | $81.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.24 / $48.24 / $149.38
| Professional | | $48.24 | $48.24 | $149.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.12 / $51.12 / $53.11
| Facility | | $51.12 | $51.12 | $53.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.94 / $229.14 / $229.14
| Facility | | $83.94 | $229.14 | $229.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.83 / $37.26 / $289.44
| Professional | | $21.83 | $37.26 | $289.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.26 / $28.94 / $86.16
| Professional | | $20.26 | $28.94 | $86.16 |