- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.20 / $95.32 / $145.59
| Facility | | $28.20 | $95.32 | $145.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.76 / $28.20 / $52.21
| Professional | | $25.76 | $28.20 | $52.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $127.73 / $170.20 / $8,459.92
| Facility | | $127.73 | $170.20 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.15 / $27.15 / $27.15
| Professional | | $27.15 | $27.15 | $27.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.04 / $51.27 / $115.18
| Facility | | $33.04 | $51.27 | $115.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.76 / $33.08 / $77.81
| Professional | | $18.76 | $33.08 | $77.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.71 / $46.99 / $66.14
| Professional | | $20.71 | $46.99 | $66.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.52 / $145.88 / $225.21
| Facility | | $86.52 | $145.88 | $225.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.20 / $95.32 / $145.59
| Facility | | $28.20 | $95.32 | $145.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.76 / $38.42 / $143.77
| Professional | | $25.76 | $38.42 | $143.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.60 / $48.10 / $69.62
| Professional | | $32.60 | $48.10 | $69.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.95 / $57.92 / $115.18
| Facility | | $33.95 | $57.92 | $115.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.19 / $37.07 / $77.81
| Professional | | $20.19 | $37.07 | $77.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.81 / $34.81 / $34.81
| Facility | | $34.81 | $34.81 | $34.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.81 / $34.81 / $35.51
| Professional | | $34.81 | $34.81 | $35.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.34 / $34.81 / $63.70
| Professional | | $20.34 | $34.81 | $63.70 |