- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.52 / $62.38 / $107.34
| Facility | | $22.52 | $62.38 | $107.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.52 / $29.46 / $32.51
| Professional | | $22.52 | $29.46 | $32.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.05 / $35.20 / $103.16
| Facility | | $22.05 | $35.20 | $103.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.83 / $13.54 / $41.97
| Professional | | $10.83 | $13.54 | $41.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.86 / $49.10 / $72.78
| Facility | | $33.86 | $49.10 | $72.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.59 / $74.48 / $104.48
| Facility | | $50.59 | $74.48 | $104.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.09 / $174.67 / $174.67
| Professional | | $27.09 | $174.67 | $174.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.47 / $60.67 / $157.08
| Professional | | $30.47 | $60.67 | $157.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.28 / $45.37 / $60.44
| Professional | | $39.28 | $45.37 | $60.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.22 / $20.32 / $59.27
| Professional | | $14.22 | $20.32 | $59.27 |