- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.29 / $92.83 / $144.88
| Facility | | $43.29 | $92.83 | $144.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.44 / $55.81 / $93.56
| Professional | | $22.44 | $55.81 | $93.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.04 / $107.81 / $173.42
| Facility | | $37.04 | $107.81 | $173.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.38 / $38.81 / $333.00
| Professional | | $24.38 | $38.81 | $333.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.09 / $80.20 / $140.22
| Facility | | $56.09 | $80.20 | $140.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.73 / $34.89 / $34.89
| Professional | | $30.73 | $34.89 | $34.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.46 / $44.91 / $85.99
| Facility | | $22.46 | $44.91 | $85.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.21 / $28.32 / $67.64
| Professional | | $16.21 | $28.32 | $67.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.09 / $53.86 / $6,679.00
| Facility | | $34.09 | $53.86 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.11 / $47.73 / $72.61
| Professional | | $39.11 | $47.73 | $72.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.78 / $78.69 / $109.26
| Professional | | $41.78 | $78.69 | $109.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.31 / $79.31 / $79.31
| Facility | | $79.31 | $79.31 | $79.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.31 / $173.42 / $173.42
| Facility | | $76.31 | $173.42 | $173.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.74 / $40.65 / $333.00
| Professional | | $20.74 | $40.65 | $333.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.61 / $36.74 / $96.10
| Professional | | $19.61 | $36.74 | $96.10 |