- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.01 / $95.03 / $266.61
| Facility | | $38.01 | $95.03 | $266.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.41 / $41.27 / $56.99
| Professional | | $30.41 | $41.27 | $56.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $25.39 / $36.92
| Professional | | $5.00 | $25.39 | $36.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.01 / $54.16 / $76.02
| Professional | | $38.01 | $54.16 | $76.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.30 / $54.30 / $54.30
| Facility | | $54.30 | $54.30 | $54.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.95 / $113.67 / $230.89
| Facility | | $37.95 | $113.67 | $230.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.56 / $43.78 / $82.61
| Professional | | $27.56 | $43.78 | $82.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.88 / $257.93 / $257.93
| Facility | | $86.88 | $257.93 | $257.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.72 / $54.30 / $59.73
| Facility | | $40.72 | $54.30 | $59.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.35 / $54.30 / $54.30
| Professional | | $51.35 | $54.30 | $54.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.72 / $54.30 / $149.94
| Facility | | $40.72 | $54.30 | $149.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.61 / $44.16 / $79.00
| Professional | | $27.61 | $44.16 | $79.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $22.81 / $54.30
| Facility | | $19.55 | $22.81 | $54.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.81 / $22.81 / $32.58
| Professional | | $22.81 | $22.81 | $32.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.18 / $21.72 / $54.30
| Professional | | $21.18 | $21.72 | $54.30 |