- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.38 / $81.25 / $141.26
| Facility | | $19.38 | $81.25 | $141.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.38 / $36.15 / $46.35
| Professional | | $19.38 | $36.15 | $46.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.99 / $135.40 / $220.16
| Facility | | $50.99 | $135.40 | $220.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.50 / $40.86 / $112.90
| Professional | | $9.50 | $40.86 | $112.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.00 / $101.98 / $184.75
| Facility | | $23.00 | $101.98 | $184.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.00 / $32.39 / $90.37
| Facility | | $16.00 | $32.39 | $90.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.53 / $48.38 / $64.23
| Professional | | $9.53 | $48.38 | $64.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $83.43 / $8,090.00
| Facility | | $53.00 | $83.43 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.28 / $61.07 / $78.53
| Professional | | $47.28 | $61.07 | $78.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.40 / $55.85 / $121.21
| Professional | | $39.40 | $55.85 | $121.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.26 / $56.45 / $58.15
| Facility | | $40.26 | $56.45 | $58.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.65 / $220.16 / $220.16
| Facility | | $80.65 | $220.16 | $220.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.80 / $23.33 / $34.33
| Professional | | $6.80 | $23.33 | $34.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.86 / $46.35 / $69.53
| Professional | | $40.86 | $46.35 | $69.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $23.18 / $31.84
| Facility | | $9.77 | $23.18 | $31.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.80 / $24.30 / $46.35
| Professional | | $6.80 | $24.30 | $46.35 |