- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.76 / $63.19 / $63.93
| Facility | | $57.76 | $63.19 | $63.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.62 / $58.03 / $69.64
| Professional | | $50.62 | $58.03 | $69.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.30 / $56.30 / $56.30
| Professional | | $56.30 | $56.30 | $56.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.62 / $60.83 / $113.30
| Professional | | $58.62 | $60.83 | $113.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94.36 / $94.36 / $94.36
| Facility | | $94.36 | $94.36 | $94.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.00 / $58.23 / $105.00
| Professional | | $42.00 | $58.23 | $105.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.66 / $80.16 / $119.96
| Professional | | $57.66 | $80.16 | $119.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.10 / $45.10 / $45.10
| Professional | | $45.10 | $45.10 | $45.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.76 / $58.39 / $63.93
| Facility | | $57.76 | $58.39 | $63.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.17 / $59.93 / $77.31
| Professional | | $51.17 | $59.93 | $77.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.70 / $47.70 / $102.44
| Professional | | $47.70 | $47.70 | $102.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.70 / $64.90 / $89.10
| Professional | | $47.70 | $64.90 | $89.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.78 / $94.36 / $94.36
| Facility | | $80.78 | $94.36 | $94.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.00 / $57.00 / $102.31
| Professional | | $42.00 | $57.00 | $102.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.05 / $58.05 / $58.05
| Facility | | $58.05 | $58.05 | $58.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.05 / $58.05 / $58.05
| Professional | | $58.05 | $58.05 | $58.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.23 / $75.34 / $118.82
| Professional | | $56.23 | $75.34 | $118.82 |