- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.09 / $33.09 / $33.09
| Facility | | $33.09 | $33.09 | $33.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.09 / $36.81 / $47.57
| Professional | | $33.09 | $36.81 | $47.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.45 / $209.42 / $479.61
| Facility | | $32.45 | $209.42 | $479.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.45 / $57.66 / $73.95
| Professional | | $32.45 | $57.66 | $73.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.80 / $43.80 / $130.09
| Facility | | $43.80 | $43.80 | $130.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.59 / $63.06 / $63.06
| Professional | | $49.59 | $63.06 | $63.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.80 / $48.98 / $53.09
| Facility | | $43.80 | $48.98 | $53.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.76 / $48.98 / $87.75
| Professional | | $35.76 | $48.98 | $87.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $4,618.00 / $9,239.00
| Facility | | $83.43 | $4,618.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.32 / $61.32 / $64.39
| Professional | | $61.32 | $61.32 | $64.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.64 / $91.64 / $91.64
| Facility | | $91.64 | $91.64 | $91.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.19 / $45.82 / $45.82
| Professional | | $44.19 | $45.82 | $45.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $209.42 / $479.61 / $479.61
| Facility | | $209.42 | $479.61 | $479.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.11 / $40.47 / $73.95
| Professional | | $29.11 | $40.47 | $73.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.58 / $40.47 / $82.76
| Professional | | $29.58 | $40.47 | $82.76 |