- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $46.77 / $66.07
| Facility | | $18.62 | $46.77 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $42.66 / $741.31
| Professional | | $16.98 | $42.66 | $741.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.49 / $117.49 / $117.49
| Facility | | $117.49 | $117.49 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $48.98 / $120.23
| Professional | | $20.89 | $48.98 | $120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $26.92 / $58.88
| Facility | | $20.42 | $26.92 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $46.77 / $102.33
| Professional | | $20.42 | $46.77 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.84 / $44.67 / $63.10
| Professional | | $28.84 | $44.67 | $63.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $16.60 / $21.88
| Facility | | $16.60 | $16.60 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $42.66 / $79.43
| Professional | | $22.91 | $42.66 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $40.74 / $87.10
| Professional | | $19.50 | $40.74 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $64.57 / $288.40
| Facility | | $64.57 | $64.57 | $288.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $398.11 / $1,584.89
| Professional | | $57.54 | $398.11 | $1,584.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.49 / $117.49 / $117.49
| Facility | | $117.49 | $117.49 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $48.98 / $120.23
| Professional | | $20.89 | $48.98 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $46.77 / $89.13
| Professional | | $21.88 | $46.77 | $89.13 |