- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.93 / $129.58 / $154.33
| Facility | | $70.93 | $129.58 | $154.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.80 / $78.95 / $103.63
| Professional | | $64.80 | $78.95 | $103.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.87 / $75.18 / $100.61
| Professional | | $58.87 | $75.18 | $100.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106.09 / $106.09 / $106.09
| Facility | | $106.09 | $106.09 | $106.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $106.09 / $106.09 / $123.28
| Professional | | $106.09 | $106.09 | $123.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $116.71 / $116.71 / $116.71
| Facility | | $116.71 | $116.71 | $116.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.00 / $75.23 / $227.78
| Professional | | $45.00 | $75.23 | $227.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.00 / $30.00 / $319.00
| Facility | | $30.00 | $30.00 | $319.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.49 / $125.90 / $175.27
| Professional | | $89.49 | $125.90 | $175.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.06 / $72.36 / $72.36
| Facility | | $71.06 | $72.36 | $72.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.31 / $87.91 / $174.30
| Professional | | $70.31 | $87.91 | $174.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $116.71 / $116.71 / $555.00
| Facility | | $116.71 | $116.71 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.00 / $86.00 / $222.94
| Professional | | $45.00 | $86.00 | $222.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.22 / $100.67 / $267.45
| Professional | | $72.22 | $100.67 | $267.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.77 / $86.83 / $86.83
| Facility | | $80.77 | $86.83 | $86.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $77.56 / $103.42 / $183.55
| Professional | | $77.56 | $103.42 | $183.55 |