- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.21 / $105.51 / $278.57
| Facility | | $42.21 | $105.51 | $278.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.83 / $41.03 / $70.34
| Professional | | $32.83 | $41.03 | $70.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.33 / $142.68 / $303.07
| Facility | | $70.33 | $142.68 | $303.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $32.24 / $82.07
| Professional | | $5.00 | $32.24 | $82.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.62 / $58.62 / $80.00
| Facility | | $58.62 | $58.62 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.93 / $125.55 / $261.19
| Facility | | $49.93 | $125.55 | $261.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.42 / $37.20 / $97.31
| Professional | | $27.42 | $37.20 | $97.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.00 / $278.45 / $278.45
| Facility | | $102.00 | $278.45 | $278.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $361.80 / $361.80 / $439.65
| Professional | | $361.80 | $361.80 | $439.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.03 / $66.59 / $99.83
| Facility | | $41.03 | $66.59 | $99.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.33 / $58.62 / $73.28
| Professional | | $55.33 | $58.62 | $73.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.38 / $70.53 / $195.57
| Facility | | $43.38 | $70.53 | $195.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.63 / $55.69 / $96.23
| Professional | | $27.63 | $55.69 | $96.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.10 / $24.62 / $58.62
| Facility | | $21.10 | $24.62 | $58.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.54 / $25.14 / $40.29
| Professional | | $24.54 | $25.14 | $40.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.45 / $30.37 / $58.62
| Professional | | $23.45 | $30.37 | $58.62 |