- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.96 / $46.24 / $103.64
| Facility | | $19.96 | $46.24 | $103.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.70 / $21.70 / $25.35
| Professional | | $21.70 | $21.70 | $25.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.10 / $23.54 / $8,459.92
| Facility | | $20.10 | $23.54 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.52 / $22.52 / $22.52
| Professional | | $22.52 | $22.52 | $22.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.47 / $21.70 / $21.70
| Facility | | $20.47 | $21.70 | $21.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.70 / $21.70 / $23.54
| Professional | | $21.70 | $21.70 | $23.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.52 / $23.54 / $32.57
| Professional | | $22.52 | $23.54 | $32.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.59 / $229.59 / $236.20
| Facility | | $229.59 | $229.59 | $236.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.96 / $48.50 / $1,333.00
| Facility | | $19.96 | $48.50 | $1,333.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.96 / $21.70 / $49.08
| Professional | | $19.96 | $21.70 | $49.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.40 / $38.79 / $92.80
| Professional | | $27.40 | $38.79 | $92.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.47 / $21.70 / $21.70
| Facility | | $20.47 | $21.70 | $21.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.70 / $21.70 / $27.64
| Professional | | $21.70 | $21.70 | $27.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.64 / $41.64 / $48.32
| Facility | | $41.64 | $41.64 | $48.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.64 / $41.64 / $48.32
| Professional | | $41.64 | $41.64 | $48.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.70 / $23.00 / $37.40
| Professional | | $21.70 | $23.00 | $37.40 |