- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.89 / $45.71 / $138.04
| Facility | | $20.89 | $45.71 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $42.66 / $81.28
| Professional | | $19.05 | $42.66 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.44 / $107.15 / $407.38
| Facility | | $72.44 | $107.15 | $407.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $72.44 / $190.55
| Professional | | $33.88 | $72.44 | $190.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $190.55 / $257.04
| Facility | | $165.96 | $190.55 | $257.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $75.86 / $89.13
| Facility | | $21.38 | $75.86 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $60.26 / $165.96
| Professional | | $21.38 | $60.26 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.10 / $104.71 / $7,079.46
| Facility | | $63.10 | $104.71 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $58.88 / $104.71
| Professional | | $31.62 | $58.88 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $74.13 / $162.18
| Professional | | $57.54 | $74.13 | $162.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.54 / $57.54 / $57.54
| Facility | | $57.54 | $57.54 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.44 / $107.15 / $407.38
| Facility | | $72.44 | $107.15 | $407.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $72.44 / $190.55
| Professional | | $33.88 | $72.44 | $190.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.89 / $60.26 / $60.26
| Facility | | $20.89 | $60.26 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.84 / $57.54 / $158.49
| Professional | | $28.84 | $57.54 | $158.49 |