- 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
- $25.31 / $28.42 / $225.63
| Professional | | $25.31 | $28.42 | $225.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $164.96 / $219.82 / $8,459.92
| Facility | | $164.96 | $219.82 | $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 / $51.76 / $116.27
| Facility | | $33.29 | $51.76 | $116.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.60 / $33.68 / $79.23
| Professional | | $20.60 | $33.68 | $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
- $274.14 / $274.14 / $274.14
| Facility | | $274.14 | $274.14 | $274.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.83 / $99.47 / $144.91
| Facility | | $29.83 | $99.47 | $144.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.31 / $31.34 / $144.91
| Professional | | $25.31 | $31.34 | $144.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.83 / $35.09 / $70.18
| Professional | | $29.83 | $35.09 | $70.18 |
- 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
- $20.81 / $37.64 / $79.23
| Professional | | $20.81 | $37.64 | $79.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.09 / $35.09 / $52.54
| Facility | | $35.09 | $35.09 | $52.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.09 / $35.09 / $52.54
| Professional | | $35.09 | $35.09 | $52.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.74 / $21.05 / $55.13
| Professional | | $14.74 | $21.05 | $55.13 |