- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.33 / $44.00 / $47.12
| Professional | | $32.33 | $44.00 | $47.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.83 / $39.26 / $77.56
| Professional | | $29.83 | $39.26 | $77.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.05 / $59.05 / $59.05
| Facility | | $59.05 | $59.05 | $59.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.05 / $59.05 / $59.05
| Professional | | $59.05 | $59.05 | $59.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.24 / $43.24 / $259.91
| Facility | | $43.24 | $43.24 | $259.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.89 / $58.58 / $180.85
| Professional | | $48.89 | $58.58 | $180.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.17 / $25.17 / $107.86
| Facility | | $25.17 | $25.17 | $107.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.02 / $52.95 / $85.11
| Professional | | $30.02 | $52.95 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.22 / $39.22 / $39.22
| Facility | | $39.22 | $39.22 | $39.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.74 / $39.22 / $75.11
| Professional | | $32.74 | $39.22 | $75.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.24 / $555.00 / $597.00
| Facility | | $43.24 | $555.00 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.89 / $58.58 / $180.85
| Professional | | $48.89 | $58.58 | $180.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.74 / $42.37 / $83.03
| Professional | | $32.74 | $42.37 | $83.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.22 / $39.22 / $39.22
| Facility | | $39.22 | $39.22 | $39.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.22 / $39.22 / $75.11
| Professional | | $39.22 | $39.22 | $75.11 |