- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $28.18 / $83.18
| Facility | | $16.98 | $28.18 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $28.18 / $61.66
| Professional | | $16.98 | $28.18 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $47.86 / $85.11 / $102.33
| Professional | 50 | $47.86 | $85.11 | $102.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $562.34 / $1,174.90
| Facility | | $245.47 | $562.34 | $1,174.90 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $371.54 / $660.69 / $1,698.24
| Facility | 50 | $371.54 | $660.69 | $1,698.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.51 / $51.29 / $95.50
| Professional | | $29.51 | $51.29 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $44.67 / $75.86 / $131.83
| Professional | 50 | $44.67 | $75.86 | $131.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.13 / $104.71 / $251.19
| Facility | | $74.13 | $104.71 | $251.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $64.57 / $120.23
| Professional | | $36.31 | $64.57 | $120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.28 / $100.00 / $194.98
| Facility | | $81.28 | $100.00 | $194.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $63.10 / $114.82
| Professional | | $37.15 | $63.10 | $114.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.89 / $44.67 / $331.13
| Facility | | $20.89 | $44.67 | $331.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $53.70 / $134.90
| Professional | | $27.54 | $53.70 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $24.55 / $89.13 / $91.20
| Professional | 50 | $24.55 | $89.13 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.38 / $1,819.70 / $3,467.37
| Facility | | $407.38 | $1,819.70 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.39 / $41.69 / $85.11
| Professional | | $22.39 | $41.69 | $85.11 |