- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.38 / $119.60 / $268.27
| Facility | | $42.38 | $119.60 | $268.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $34.33 / $93.40
| Professional | | $28.18 | $34.33 | $93.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.76 / $49.16 / $132.69
| Facility | | $31.76 | $49.16 | $132.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.68 / $54.10 / $397.33
| Professional | | $34.68 | $54.10 | $397.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.17 / $103.14 / $210.66
| Facility | | $68.17 | $103.14 | $210.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.84 / $39.84 / $44.53
| Professional | | $39.84 | $39.84 | $44.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.06 / $67.84 / $134.38
| Facility | | $33.06 | $67.84 | $134.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.69 / $44.54 / $110.06
| Professional | | $24.69 | $44.54 | $110.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.53 / $3,472.00 / $9,239.00
| Facility | | $62.53 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.15 / $61.15 / $71.94
| Professional | | $61.15 | $61.15 | $71.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.38 / $83.66 / $129.68
| Professional | | $42.38 | $83.66 | $129.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.95 / $76.95 / $80.45
| Facility | | $76.95 | $76.95 | $80.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.73 / $233.72 / $233.72
| Facility | | $73.73 | $233.72 | $233.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.18 / $52.70 / $397.33
| Professional | | $29.18 | $52.70 | $397.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.18 / $46.62 / $367.50
| Professional | | $29.18 | $46.62 | $367.50 |