- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $77.62 / $257.04
| Facility | | $33.11 | $77.62 | $257.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $30.20 / $218.78
| Professional | | $22.91 | $30.20 | $218.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $38.02 / $114.82
| Facility | | $24.55 | $38.02 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $36.31 / $398.11
| Professional | | $20.89 | $36.31 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.70 / $66.07 / $107.15
| Facility | | $53.70 | $66.07 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $31.62 / $31.62
| Professional | | $31.62 | $31.62 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $46.77 / $97.72
| Facility | | $23.99 | $46.77 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $35.48 / $87.10
| Professional | | $18.20 | $35.48 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.67 / $3,630.78 / $9,772.37
| Facility | | $44.67 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $47.86 / $56.23
| Professional | | $47.86 | $47.86 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $48.98 / $83.18
| Professional | | $28.18 | $48.98 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $257.04 / $257.04
| Facility | | $257.04 | $257.04 | $257.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $38.02 / $114.82
| Facility | | $24.55 | $38.02 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $36.31 / $398.11
| Professional | | $21.38 | $36.31 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.89 / $33.11 / $41.69
| Facility | | $20.89 | $33.11 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $34.67 / $83.18
| Professional | | $20.89 | $34.67 | $83.18 |