- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $309.03 / $2,187.76
| Facility | | $43.65 | $309.03 | $2,187.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.90 / $51.29 / $323.59
| Professional | | $38.90 | $51.29 | $323.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.50 / $104.71 / $275.42
| Facility | | $95.50 | $104.71 | $275.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $60.26 / $125.89
| Professional | | $39.81 | $60.26 | $125.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.98 / $102.33 / $144.54
| Facility | | $48.98 | $102.33 | $144.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.98 / $83.18 / $112.20
| Professional | | $48.98 | $83.18 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $72.44 / $141.25
| Professional | | $45.71 | $72.44 | $141.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.67 / $83.18 / $7,079.46
| Facility | | $44.67 | $83.18 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $51.29 / $91.20
| Professional | | $27.54 | $51.29 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $72.44 / $120.23
| Professional | | $44.67 | $72.44 | $120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.86 / $398.11 / $398.11
| Facility | | $75.86 | $398.11 | $398.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $109.65 / $109.65 / $223.87
| Professional | | $109.65 | $109.65 | $223.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.50 / $104.71 / $275.42
| Facility | | $95.50 | $104.71 | $275.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $61.66 / $125.89
| Professional | | $39.81 | $61.66 | $125.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.15 / $37.15 / $37.15
| Facility | | $37.15 | $37.15 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $70.79 / $123.03
| Professional | | $45.71 | $70.79 | $123.03 |