- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.60 / $341.76 / $500.82
| Facility | | $30.60 | $341.76 | $500.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.88 / $30.60 / $32.86
| Professional | | $29.88 | $30.60 | $32.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.87 / $4.55 / $8,459.92
| Facility | | $3.87 | $4.55 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.55 / $4.55 / $4.55
| Professional | | $4.55 | $4.55 | $4.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.60 / $30.60 / $30.60
| Facility | | $30.60 | $30.60 | $30.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.60 / $30.60 / $30.60
| Professional | | $30.60 | $30.60 | $30.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.50 / $25.50 / $25.50
| Professional | | $25.50 | $25.50 | $25.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.74 / $133.19 / $483.08
| Facility | | $57.74 | $133.19 | $483.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.76 / $323.05 / $513.34
| Facility | | $43.76 | $323.05 | $513.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.52 / $30.60 / $41.31
| Professional | | $29.52 | $30.60 | $41.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $387.15 / $574.86 / $788.58
| Professional | | $387.15 | $574.86 | $788.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.60 / $30.60 / $30.60
| Facility | | $30.60 | $30.60 | $30.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.60 / $30.60 / $30.60
| Professional | | $30.60 | $30.60 | $30.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.20 / $34.20 / $37.61
| Facility | | $34.20 | $34.20 | $37.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.20 / $34.20 / $37.61
| Professional | | $34.20 | $34.20 | $37.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.00 / $30.00 / $37.50
| Professional | | $30.00 | $30.00 | $37.50 |