- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $45.71 / $147.91
| Facility | | $21.88 | $45.71 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $21.88 / $45.71
| Professional | | $16.98 | $21.88 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $79.43 / $199.53
| Facility | | $35.48 | $79.43 | $199.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $38.02 / $93.33
| Professional | | $27.54 | $38.02 | $93.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $190.55 / $257.04
| Facility | | $165.96 | $190.55 | $257.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $33.11 / $46.77
| Professional | | $33.11 | $33.11 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $77.62 / $95.50
| Facility | | $19.05 | $77.62 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $35.48 / $93.33
| Professional | | $21.38 | $35.48 | $93.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $69.18 / $7,079.46
| Facility | | $32.36 | $69.18 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $30.90 / $53.70
| Professional | | $16.22 | $30.90 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $38.02 / $83.18
| Professional | | $32.36 | $38.02 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.98 / $48.98 / $141.25
| Professional | | $48.98 | $48.98 | $141.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $79.43 / $199.53
| Facility | | $35.48 | $79.43 | $199.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $38.02 / $93.33
| Professional | | $27.54 | $38.02 | $93.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $30.90 / $30.90
| Facility | | $22.39 | $30.90 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $36.31 / $83.18
| Professional | | $26.92 | $36.31 | $83.18 |