- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.11 / $47.04 / $71.62
| Facility | | $26.11 | $47.04 | $71.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.32 / $49.16 / $77.31
| Professional | | $29.32 | $49.16 | $77.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.70 / $51.66 / $74.48
| Professional | | $29.70 | $51.66 | $74.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.08 / $26.08 / $80.00
| Facility | | $26.08 | $26.08 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.23 / $53.23 / $53.23
| Facility | | $53.23 | $53.23 | $53.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.65 / $58.49 / $95.24
| Professional | | $34.65 | $58.49 | $95.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $55.00 / $150.72
| Facility | | $55.00 | $55.00 | $150.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,641.00 / $1,687.42 / $1,687.42
| Professional | | $1,641.00 | $1,687.42 | $1,687.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.07 / $57.00 / $98.28
| Facility | | $32.07 | $57.00 | $98.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.10 / $63.74 / $97.00
| Professional | | $39.10 | $63.74 | $97.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.26 / $59.38 / $125.14
| Professional | | $33.26 | $59.38 | $125.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.07 / $57.06 / $105.88
| Facility | | $32.07 | $57.06 | $105.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.64 / $61.15 / $104.02
| Professional | | $35.64 | $61.15 | $104.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.00 / $950.00 / $2,405.00
| Facility | | $161.00 | $950.00 | $2,405.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.42 / $56.02 / $88.96
| Professional | | $41.42 | $56.02 | $88.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.38 / $52.43 / $73.59
| Professional | | $46.38 | $52.43 | $73.59 |