- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.10 / $71.62 / $242.56
| Facility | | $36.10 | $71.62 | $242.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.92 / $36.76 / $72.77
| Professional | | $24.92 | $36.76 | $72.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $520.24 / $1,237.65 / $2,412.41
| Facility | | $520.24 | $1,237.65 | $2,412.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.81 / $68.94 / $1,180.70
| Professional | | $37.81 | $68.94 | $1,180.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.47 / $52.47 / $83.73
| Professional | | $33.47 | $52.47 | $83.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.82 / $64.31 / $493.48
| Facility | | $37.82 | $64.31 | $493.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.72 / $57.72 / $99.13
| Professional | | $34.72 | $57.72 | $99.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.99 / $53.00 / $90.38
| Professional | | $8.99 | $53.00 | $90.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.20 / $50.92 / $82.53
| Facility | | $41.20 | $50.92 | $82.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.43 / $34.43 / $34.72
| Facility | | $34.43 | $34.43 | $34.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.65 / $58.82 / $71.39
| Professional | | $38.65 | $58.82 | $71.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,194.18 / $1,593.18 / $2,990.57
| Facility | | $1,194.18 | $1,593.18 | $2,990.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.11 / $49.88 / $69.31
| Professional | | $35.11 | $49.88 | $69.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.76 / $54.18 / $80.26
| Professional | | $32.76 | $54.18 | $80.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.69 / $25.69 / $25.69
| Professional | | $25.69 | $25.69 | $25.69 |