- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.82 / $93.27 / $151.87
| Facility | | $24.82 | $93.27 | $151.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.82 / $35.34 / $62.45
| Professional | | $24.82 | $35.34 | $62.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.01 / $49.44 / $121.04
| Facility | | $32.01 | $49.44 | $121.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.27 / $40.54 / $160.81
| Professional | | $21.27 | $40.54 | $160.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.04 / $92.52 / $171.85
| Facility | | $42.04 | $92.52 | $171.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.32 / $38.11 / $40.14
| Professional | | $33.32 | $38.11 | $40.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.16 / $52.94 / $92.26
| Facility | | $28.16 | $52.94 | $92.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.46 / $42.72 / $105.55
| Professional | | $22.46 | $42.72 | $105.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.34 / $58.34 / $68.64
| Professional | | $58.34 | $58.34 | $68.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.54 / $40.54 / $125.58
| Professional | | $40.54 | $40.54 | $125.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.97 / $55.54 / $88.79
| Facility | | $42.97 | $55.54 | $88.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.14 / $41.14 / $81.00
| Professional | | $41.14 | $41.14 | $81.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.56 / $192.61 / $192.61
| Facility | | $70.56 | $192.61 | $192.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.27 / $24.33 / $202.75
| Professional | | $21.27 | $24.33 | $202.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.59 / $39.69 / $95.09
| Facility | | $28.59 | $39.69 | $95.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.75 / $39.34 / $60.83
| Professional | | $31.75 | $39.34 | $60.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.27 / $24.33 / $72.42
| Professional | | $21.27 | $24.33 | $72.42 |