- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.63 / $67.92 / $325.87
| Facility | | $22.63 | $67.92 | $325.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.14 / $23.92 / $73.06
| Professional | | $18.14 | $23.92 | $73.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.05 / $90.39 / $267.02
| Facility | | $43.05 | $90.39 | $267.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.34 / $39.68 / $205.58
| Professional | | $17.34 | $39.68 | $205.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.54 / $180.22 / $236.48
| Facility | | $26.54 | $180.22 | $236.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.34 / $34.61 / $46.90
| Professional | | $25.34 | $34.61 | $46.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124.25 / $273.06 / $432.68
| Facility | | $124.25 | $273.06 | $432.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.54 / $40.31 / $86.92
| Professional | | $21.54 | $40.31 | $86.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.56 / $53.00 / $8,090.00
| Facility | | $21.56 | $53.00 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.26 / $21.18 / $38.21
| Professional | | $11.26 | $21.18 | $38.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.53 / $44.47 / $57.13
| Professional | | $22.53 | $44.47 | $57.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $233.48 / $233.48 / $233.48
| Facility | | $233.48 | $233.48 | $233.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.51 / $48.52 / $318.75
| Professional | | $39.51 | $48.52 | $318.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.39 / $90.39 / $90.39
| Facility | | $90.39 | $90.39 | $90.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.82 / $61.31 / $371.24
| Professional | | $23.82 | $61.31 | $371.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.47 / $182.15 / $487.17
| Facility | | $173.47 | $182.15 | $487.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.49 / $42.92 / $94.26
| Professional | | $21.49 | $42.92 | $94.26 |