- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.53 / $67.77 / $500.65
| Facility | | $19.53 | $67.77 | $500.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.53 / $22.63 / $91.67
| Professional | | $17.53 | $22.63 | $91.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.51 / $35.52 / $117.78
| Professional | | $18.51 | $35.52 | $117.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.66 / $56.86 / $87.23
| Facility | | $48.66 | $56.86 | $87.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.53 / $45.42 / $68.30
| Professional | | $23.53 | $45.42 | $68.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.43 / $21.94 / $53.81
| Facility | | $17.43 | $21.94 | $53.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.53 / $22.63 / $60.85
| Facility | | $17.53 | $22.63 | $60.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.86 / $89.99 / $371.24
| Professional | | $29.86 | $89.99 | $371.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.82 / $65.00 / $85.00
| Professional | | $30.82 | $65.00 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.43 / $21.97 / $53.81
| Facility | | $17.43 | $21.97 | $53.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.78 / $44.17 / $132.11
| Professional | | $32.78 | $44.17 | $132.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.26 / $83.26 / $83.26
| Facility | | $83.26 | $83.26 | $83.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.15 / $201.00 / $371.24
| Professional | | $34.15 | $201.00 | $371.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.54 / $91.73 / $167.55
| Professional | | $43.54 | $91.73 | $167.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $329.60 / $329.60 / $425.01
| Facility | | $329.60 | $329.60 | $425.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.81 / $55.46 / $135.91
| Professional | | $24.81 | $55.46 | $135.91 |