- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.50 / $111.14 / $191.98
| Facility | | $58.50 | $111.14 | $191.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.00 / $57.26 / $78.14
| Professional | | $50.00 | $57.26 | $78.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.36 / $67.36 / $175.14
| Facility | | $67.36 | $67.36 | $175.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.78 / $40.75 / $152.02
| Professional | | $29.78 | $40.75 | $152.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.42 / $67.36 / $67.36
| Facility | | $40.42 | $67.36 | $67.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.17 / $67.36 / $67.36
| Professional | | $49.17 | $67.36 | $67.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.07 / $136.38 / $691.91
| Facility | | $47.07 | $136.38 | $691.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.10 / $75.61 / $402.13
| Professional | | $50.10 | $75.61 | $402.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.11 / $105.78 / $332.00
| Facility | | $66.11 | $105.78 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.78 / $40.42 / $123.27
| Professional | | $30.78 | $40.42 | $123.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.36 / $67.36 / $67.36
| Facility | | $67.36 | $67.36 | $67.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.37 / $67.36 / $86.89
| Professional | | $59.37 | $67.36 | $86.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.73 / $164.31 / $681.64
| Facility | | $61.73 | $164.31 | $681.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.77 / $79.45 / $140.79
| Professional | | $53.77 | $79.45 | $140.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.29 / $40.42 / $98.93
| Professional | | $28.29 | $40.42 | $98.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.45 / $77.45 / $221.26
| Facility | | $77.45 | $77.45 | $221.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.37 / $75.65 / $89.40
| Professional | | $59.37 | $75.65 | $89.40 |