- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.18 / $28.06 / $34.47
| Facility | | $19.18 | $28.06 | $34.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.18 / $26.58 / $35.21
| Professional | | $19.18 | $26.58 | $35.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,018.00 / $5,572.00 / $8,427.00
| Facility | | $1,018.00 | $5,572.00 | $8,427.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.23 / $25.37 / $42.51
| Professional | | $17.23 | $25.37 | $42.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.57 / $15.57 / $15.57
| Facility | | $15.57 | $15.57 | $15.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.93 / $31.78 / $51.16
| Professional | | $20.93 | $31.78 | $51.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.26 / $89.68 / $89.68
| Facility | | $83.26 | $89.68 | $89.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $233.00 / $240.54 / $248.48
| Professional | | $233.00 | $240.54 | $248.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.85 / $30.30 / $57.19
| Facility | | $19.85 | $30.30 | $57.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.13 / $31.13 / $46.41
| Professional | | $23.13 | $31.13 | $46.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.87 / $29.58 / $62.50
| Professional | | $16.87 | $29.58 | $62.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.85 / $30.34 / $58.66
| Facility | | $19.85 | $30.34 | $58.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.93 / $33.58 / $54.65
| Professional | | $20.93 | $33.58 | $54.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.60 / $29.82 / $46.07
| Professional | | $22.60 | $29.82 | $46.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.63 / $25.73 / $35.95
| Professional | | $22.63 | $25.73 | $35.95 |