- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.72 / $24.72 / $45.98
| Facility | | $24.72 | $24.72 | $45.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.78 / $32.02 / $80.50
| Professional | | $23.78 | $32.02 | $80.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.71 / $61.99 / $124.07
| Facility | | $26.71 | $61.99 | $124.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.71 / $39.72 / $158.99
| Professional | | $26.71 | $39.72 | $158.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.21 / $67.66 / $88.13
| Facility | | $57.21 | $67.66 | $88.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.11 / $42.09 / $62.86
| Professional | | $22.11 | $42.09 | $62.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.32 / $28.32 / $28.32
| Facility | | $28.32 | $28.32 | $28.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.24 / $46.94 / $89.16
| Professional | | $27.24 | $46.94 | $89.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.53 / $53.00 / $6,679.00
| Facility | | $27.53 | $53.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.76 / $27.40 / $44.90
| Professional | | $14.76 | $27.40 | $44.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.72 / $55.46 / $80.34
| Professional | | $28.72 | $55.46 | $80.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.76 / $48.72 / $78.37
| Professional | | $39.76 | $48.72 | $78.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.75 / $124.07 / $124.07
| Facility | | $57.75 | $124.07 | $124.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.21 / $43.74 / $158.99
| Professional | | $28.21 | $43.74 | $158.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.47 / $36.34 / $80.30
| Professional | | $27.47 | $36.34 | $80.30 |