- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.92 / $44.72 / $249.81
| Facility | | $22.92 | $44.72 | $249.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.16 / $22.92 / $28.05
| Professional | | $16.16 | $22.92 | $28.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.68 / $78.88 / $162.31
| Facility | | $28.68 | $78.88 | $162.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.50 / $37.63 / $88.30
| Professional | | $27.50 | $37.63 | $88.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.28 / $188.76 / $243.78
| Facility | | $160.28 | $188.76 | $243.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.19 / $33.19 / $57.12
| Professional | | $33.19 | $33.19 | $57.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.98 / $78.01 / $95.00
| Facility | | $18.98 | $78.01 | $95.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.99 / $70.00 / $114.99
| Professional | | $28.99 | $70.00 | $114.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.83 / $51.42 / $6,679.00
| Facility | | $31.83 | $51.42 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.26 / $30.17 / $51.28
| Professional | | $18.26 | $30.17 | $51.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.07 / $62.76 / $94.67
| Professional | | $33.07 | $62.76 | $94.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $506.60 / $506.60 / $506.60
| Facility | | $506.60 | $506.60 | $506.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.94 / $48.94 / $97.87
| Professional | | $48.94 | $48.94 | $97.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $162.31 / $162.31
| Facility | | $80.00 | $162.31 | $162.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.79 / $35.79 / $201.41
| Professional | | $28.79 | $35.79 | $201.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.74 / $33.86 / $60.55
| Professional | | $26.74 | $33.86 | $60.55 |