- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $60.26 / $75.86
| Facility | | $32.36 | $60.26 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $22.91 / $41.69
| Professional | | $19.05 | $22.91 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.88 / $74.13 / $75.86
| Facility | | $58.88 | $74.13 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $10.96 / $109.65
| Professional | | $10.96 | $10.96 | $109.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.13 / $87.10 / $138.04
| Facility | | $74.13 | $87.10 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $52.48 / $85.11
| Professional | | $31.62 | $52.48 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $100.00 / $158.49
| Facility | | $32.36 | $100.00 | $158.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $162.18 / $162.18 / $181.97
| Professional | | $162.18 | $162.18 | $181.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $34.67 / $95.50
| Facility | | $25.70 | $34.67 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $17.38 / $165.96
| Professional | | $13.80 | $17.38 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $54.95 / $70.79
| Professional | | $31.62 | $54.95 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $69.18 / $91.20
| Professional | | $47.86 | $69.18 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $151.36 / $151.36
| Facility | | $54.95 | $151.36 | $151.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $134.90 / $165.96
| Professional | | $25.70 | $134.90 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $57.54
| Professional | | $20.42 | $20.42 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $79.43 / $147.91
| Professional | | $20.42 | $79.43 | $147.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $21.88 / $33.11
| Facility | | $21.88 | $21.88 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $16.60 / $44.67
| Professional | | $11.48 | $16.60 | $44.67 |