- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.07 / $72.06 / $206.94
| Facility | | $43.07 | $72.06 | $206.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.96 / $42.20 / $71.39
| Professional | | $33.96 | $42.20 | $71.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.22 / $41.26 / $94.50
| Professional | | $33.22 | $41.26 | $94.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.97 / $56.97 / $56.97
| Facility | | $56.97 | $56.97 | $56.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.97 / $56.97 / $56.97
| Professional | | $56.97 | $56.97 | $56.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.11 / $45.11 / $45.11
| Facility | | $45.11 | $45.11 | $45.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.53 / $59.98 / $128.79
| Professional | | $31.53 | $59.98 | $128.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.43 / $60.98 / $332.00
| Facility | | $33.43 | $60.98 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.35 / $53.59 / $81.31
| Professional | | $41.35 | $53.59 | $81.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.22 / $53.62 / $86.60
| Professional | | $33.22 | $53.62 | $86.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.36 / $48.21 / $48.74
| Professional | | $40.36 | $48.21 | $48.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.11 / $105.94 / $597.00
| Facility | | $45.11 | $105.94 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.75 / $58.33 / $127.77
| Professional | | $34.75 | $58.33 | $127.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.89 / $45.40 / $101.11
| Professional | | $29.89 | $45.40 | $101.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.56 / $42.56 / $55.31
| Facility | | $42.56 | $42.56 | $55.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.26 / $58.70 / $106.40
| Professional | | $40.26 | $58.70 | $106.40 |