- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.28 / $89.58 / $723.94
| Facility | | $39.28 | $89.58 | $723.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.81 / $47.43 / $165.08
| Professional | | $29.81 | $47.43 | $165.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.19 / $51.19 / $133.09
| Facility | | $51.19 | $51.19 | $133.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.75 / $30.71 / $111.53
| Professional | | $22.75 | $30.71 | $111.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.71 / $51.19 / $51.19
| Facility | | $30.71 | $51.19 | $51.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.36 / $51.19 / $51.19
| Professional | | $37.36 | $51.19 | $51.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.73 / $125.15 / $431.62
| Facility | | $62.73 | $125.15 | $431.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.32 / $72.56 / $165.61
| Professional | | $31.32 | $72.56 | $165.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.00 / $71.67 / $332.00
| Facility | | $35.00 | $71.67 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.83 / $53.41 / $93.68
| Professional | | $35.83 | $53.41 | $93.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.19 / $51.19 / $51.19
| Facility | | $51.19 | $51.19 | $51.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.63 / $51.19 / $70.01
| Professional | | $48.63 | $51.19 | $70.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99.86 / $138.66 / $181.60
| Facility | | $99.86 | $138.66 | $181.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.75 / $125.15 / $479.58
| Facility | | $47.75 | $125.15 | $479.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.27 / $81.98 / $250.00
| Professional | | $33.27 | $81.98 | $250.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.85 / $31.70 / $97.26
| Professional | | $23.85 | $31.70 | $97.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.31 / $56.31 / $146.62
| Facility | | $56.31 | $56.31 | $146.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.63 / $56.31 / $136.03
| Professional | | $48.63 | $56.31 | $136.03 |