- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.56 / $140.47 / $214.57
| Facility | | $41.56 | $140.47 | $214.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.97 / $42.07 / $308.80
| Professional | | $37.97 | $42.07 | $308.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.80 / $291.57 / $8,459.92
| Facility | | $218.80 | $291.57 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.02 / $40.02 / $40.02
| Professional | | $40.02 | $40.02 | $40.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.69 / $75.94 / $170.60
| Facility | | $48.69 | $75.94 | $170.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.08 / $49.42 / $110.03
| Professional | | $27.08 | $49.42 | $110.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.53 / $69.27 / $97.49
| Professional | | $30.53 | $69.27 | $97.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.44 / $237.14 / $310.05
| Facility | | $160.44 | $237.14 | $310.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.56 / $139.52 / $214.57
| Facility | | $41.56 | $139.52 | $214.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.01 / $52.07 / $308.80
| Professional | | $38.01 | $52.07 | $308.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.03 / $85.36 / $170.60
| Facility | | $50.03 | $85.36 | $170.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.34 / $54.15 / $110.45
| Professional | | $27.34 | $54.15 | $110.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.31 / $51.31 / $69.69
| Facility | | $51.31 | $51.31 | $69.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.31 / $51.31 / $69.69
| Professional | | $51.31 | $51.31 | $69.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.55 / $30.79 / $93.90
| Professional | | $21.55 | $30.79 | $93.90 |