- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.68 / $73.15 / $213.32
| Facility | | $41.68 | $73.15 | $213.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.82 / $31.65 / $64.19
| Professional | | $24.82 | $31.65 | $64.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.01 / $49.44 / $130.50
| Facility | | $32.01 | $49.44 | $130.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.39 / $49.04 / $325.62
| Professional | | $22.39 | $49.04 | $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
- $33.32 / $39.18 / $39.18
| Professional | | $33.32 | $39.18 | $39.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.31 / $62.73 / $135.51
| Facility | | $33.31 | $62.73 | $135.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.87 / $43.81 / $108.26
| Professional | | $24.87 | $43.81 | $108.26 |
- 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
- $60.21 / $60.21 / $70.83
| Professional | | $60.21 | $60.21 | $70.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.68 / $41.68 / $129.08
| Professional | | $41.68 | $41.68 | $129.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.17 / $45.89 / $142.08
| Facility | | $44.17 | $45.89 | $142.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.52 / $197.98 / $197.98
| Facility | | $72.52 | $197.98 | $197.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.83 / $32.19 / $325.62
| Professional | | $21.83 | $32.19 | $325.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.83 / $25.01 / $79.44
| Professional | | $21.83 | $25.01 | $79.44 |