- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $1,862.09 / $3,715.35
| Facility | | $23.99 | $1,862.09 | $3,715.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $35.48 / $125.89
| Professional | | $10.72 | $35.48 | $125.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.70 / $501.19 / $2,818.38
| Facility | | $53.70 | $501.19 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $48.98 / $123.03
| Professional | | $23.44 | $48.98 | $123.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.54 / $27.54 / $63.10
| Facility | | $27.54 | $27.54 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $53.70 / $114.82
| Professional | | $27.54 | $53.70 | $114.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.00 / $302.00 / $338.84
| Facility | | $302.00 | $302.00 | $338.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $42.66 / $109.65
| Professional | | $20.89 | $42.66 | $109.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $69.18 / $7,079.46
| Facility | | $28.18 | $69.18 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $46.77 / $79.43
| Professional | | $26.92 | $46.77 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,041.74 / $3,467.37
| Facility | | $630.96 | $2,041.74 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.30 / $56.23 / $120.23
| Professional | | $26.30 | $56.23 | $120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $416.87 / $1,023.29
| Facility | | $309.03 | $416.87 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.70 / $630.96 / $2,818.38
| Facility | | $53.70 | $630.96 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $48.98 / $125.89
| Professional | | $23.44 | $48.98 | $125.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $1,862.09 / $2,818.38
| Facility | | $630.96 | $1,862.09 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.99 / $47.86 / $102.33
| Professional | | $23.99 | $47.86 | $102.33 |