- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.88 / $46.35 / $86.83
| Facility | | $36.88 | $46.35 | $86.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.87 / $34.85 / $53.53
| Professional | | $22.87 | $34.85 | $53.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.50 / $39.95 / $66.01
| Professional | | $38.50 | $39.95 | $66.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.00 / $49.74 / $49.74
| Facility | | $30.00 | $49.74 | $49.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.47 / $38.40 / $65.70
| Professional | | $26.47 | $38.40 | $65.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.39 / $52.98 / $79.29
| Professional | | $38.39 | $52.98 | $79.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.04 / $40.04 / $41.08
| Facility | | $40.04 | $40.04 | $41.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.13 / $30.81 / $31.35
| Professional | | $29.13 | $30.81 | $31.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.80 / $46.35 / $102.15
| Facility | | $41.80 | $46.35 | $102.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.64 / $36.88 / $62.15
| Professional | | $23.64 | $36.88 | $62.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.30 / $40.00 / $50.13
| Professional | | $31.30 | $40.00 | $50.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.36 / $40.00 / $50.30
| Professional | | $29.36 | $40.00 | $50.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.00 / $49.74 / $49.74
| Facility | | $30.00 | $49.74 | $49.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.00 / $38.61 / $65.70
| Professional | | $26.00 | $38.61 | $65.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.20 / $28.97 / $50.39
| Facility | | $28.20 | $28.97 | $50.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.20 / $48.60 / $50.39
| Professional | | $28.20 | $48.60 | $50.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.47 / $40.00 / $66.47
| Professional | | $30.47 | $40.00 | $66.47 |