- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.17 / $22.27 / $29.84
| Facility | | $19.17 | $22.27 | $29.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.89 / $22.87 / $31.40
| Professional | | $19.89 | $22.87 | $31.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.36 / $24.05 / $47.78
| Professional | | $19.36 | $24.05 | $47.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.72 / $39.72 / $39.72
| Facility | | $39.72 | $39.72 | $39.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.72 / $39.72 / $39.72
| Professional | | $39.72 | $39.72 | $39.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.72 / $36.72 / $36.72
| Facility | | $36.72 | $36.72 | $36.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.04 / $44.04 / $129.41
| Professional | | $44.04 | $44.04 | $129.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.10 / $60.96 / $332.00
| Facility | | $31.10 | $60.96 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.50 / $77.06 / $119.78
| Professional | | $56.50 | $77.06 | $119.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.61 / $45.87 / $45.87
| Facility | | $22.61 | $45.87 | $45.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.06 / $52.89 / $82.25
| Professional | | $40.06 | $52.89 | $82.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.72 / $36.72 / $74,999.25
| Facility | | $36.72 | $36.72 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.77 / $44.04 / $89.02
| Professional | | $21.77 | $44.04 | $89.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.91 / $34.06 / $64.31
| Professional | | $21.91 | $34.06 | $64.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.85 / $29.85 / $52.89
| Facility | | $29.85 | $29.85 | $52.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.85 / $52.89 / $87.86
| Professional | | $29.85 | $52.89 | $87.86 |