- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.56 / $58.60 / $64.45
| Facility | | $55.56 | $58.60 | $64.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.59 / $56.72 / $66.42
| Professional | | $40.59 | $56.72 | $66.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.38 / $33.38 / $55.64
| Professional | | $33.38 | $33.38 | $55.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.49 / $37.74 / $43.04
| Facility | | $33.49 | $37.74 | $43.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.67 / $84.67 / $101.44
| Professional | | $80.67 | $84.67 | $101.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $130.63 / $137.24 / $327.51
| Facility | | $130.63 | $137.24 | $327.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $359.53 / $359.53 / $528.53
| Professional | | $359.53 | $359.53 | $528.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.40 / $60.13 / $117.56
| Facility | | $48.40 | $60.13 | $117.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.71 / $54.71 / $61.62
| Professional | | $54.71 | $54.71 | $61.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.25 / $60.56 / $117.79
| Facility | | $46.25 | $60.56 | $117.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.62 / $81.54 / $109.50
| Professional | | $61.62 | $81.54 | $109.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.39 / $63.39 / $67.12
| Facility | | $63.39 | $63.39 | $67.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.46 / $63.57 / $97.45
| Professional | | $47.46 | $63.57 | $97.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.71 / $3,804.27 / $5,135.76
| Professional | | $54.71 | $3,804.27 | $5,135.76 |