- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $39.81 / $120.23
| Facility | | $39.81 | $39.81 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $47.86 / $141.25
| Professional | | $37.15 | $47.86 | $141.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $114.82 / $138.04
| Facility | | $38.02 | $114.82 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.50 / $39.81 / $48.98
| Professional | | $0.50 | $39.81 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.77 / $46.77 / $93.33
| Facility | | $46.77 | $46.77 | $93.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $43.65 / $43.65
| Facility | | $43.65 | $43.65 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $43.65 / $43.65
| Professional | | $43.65 | $43.65 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $4,897.79 / $9,772.37
| Facility | | $83.18 | $4,897.79 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $23.44 / $46.77
| Professional | | $19.95 | $23.44 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.67 / $40.74 / $74.13
| Professional | | $34.67 | $40.74 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.81 / $275.42 / $281.84
| Facility | | $0.81 | $275.42 | $281.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $114.82 / $138.04
| Facility | | $38.02 | $114.82 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.50 / $38.02 / $48.98
| Professional | | $0.50 | $38.02 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $69.18 / $91.20
| Facility | | $42.66 | $69.18 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.10 / $42.66 / $58.88
| Professional | | $0.10 | $42.66 | $58.88 |