- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.06 / $46.62 / $248.47
| Facility | | $35.06 | $46.62 | $248.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.20 / $35.06 / $45.24
| Professional | | $31.20 | $35.06 | $45.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.66 / $70.01 / $138.30
| Facility | | $27.66 | $70.01 | $138.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.61 / $34.61 / $34.61
| Professional | | $34.61 | $34.61 | $34.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.32 / $30.73 / $126.89
| Facility | | $19.32 | $30.73 | $126.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.32 / $20.76 / $33.52
| Professional | | $19.32 | $20.76 | $33.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.51 / $30.51 / $30.51
| Facility | | $30.51 | $30.51 | $30.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.14 / $33.14 / $33.14
| Facility | | $33.14 | $33.14 | $33.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.14 / $33.14 / $33.14
| Professional | | $33.14 | $33.14 | $33.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $100.00 / $127.88
| Facility | | $85.00 | $100.00 | $127.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.66 / $35.06 / $50.14
| Facility | | $21.66 | $35.06 | $50.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.55 / $27.19 / $40.79
| Professional | | $19.55 | $27.19 | $40.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.41 / $33.14 / $50.14
| Facility | | $25.41 | $33.14 | $50.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.15 / $33.14 / $33.14
| Professional | | $28.15 | $33.14 | $33.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.49 / $35.39 / $35.70
| Professional | | $28.49 | $35.39 | $35.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.38 / $29.38 / $39.65
| Professional | | $29.38 | $29.38 | $39.65 |