- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.69 / $95.50 / $229.09
| Facility | | $41.69 | $95.50 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $36.31 / $117.49
| Professional | | $25.70 | $36.31 | $117.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $48.98 / $131.83
| Facility | | $32.36 | $48.98 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.39 / $43.65 / $323.59
| Professional | | $22.39 | $43.65 | $323.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.18 / $85.11 / $123.03
| Facility | | $69.18 | $85.11 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $38.90 / $38.90
| Professional | | $33.11 | $38.90 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $60.26 / $134.90
| Facility | | $32.36 | $60.26 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $44.67 / $107.15
| Professional | | $25.12 | $44.67 | $107.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $3,630.78 / $9,772.37
| Facility | | $56.23 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.26 / $60.26 / $70.79
| Professional | | $60.26 | $60.26 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $41.69 / $83.18
| Professional | | $41.69 | $41.69 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.67 / $44.67 / $50.12
| Facility | | $44.67 | $44.67 | $50.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $48.98 / $131.83
| Facility | | $32.36 | $48.98 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.39 / $43.65 / $323.59
| Professional | | $22.39 | $43.65 | $323.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $41.69 / $57.54
| Facility | | $29.51 | $41.69 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $38.02 / $79.43
| Professional | | $21.88 | $38.02 | $79.43 |