- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.93 / $77.48 / $91.22
| Facility | | $70.93 | $77.48 | $91.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.80 / $77.45 / $93.05
| Professional | | $64.80 | $77.45 | $93.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.38 / $88.60 / $161.86
| Professional | | $85.38 | $88.60 | $161.86 |
- 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
- $42.78 / $79.76 / $154.12
| Professional | | $42.78 | $79.76 | $154.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.62 / $117.12 / $175.27
| Professional | | $85.62 | $117.12 | $175.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.93 / $77.48 / $91.22
| Facility | | $70.93 | $77.48 | $91.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.04 / $80.36 / $104.51
| Professional | | $66.04 | $80.36 | $104.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $113.64 / $113.64 / $113.64
| Professional | | $113.64 | $113.64 | $113.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.00 / $45.00 / $113.64
| Professional | | $45.00 | $45.00 | $113.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.83 / $116.71 / $116.71
| Facility | | $87.83 | $116.71 | $116.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.00 / $75.00 / $154.12
| Professional | | $40.00 | $75.00 | $154.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.09 / $71.09 / $80.61
| Facility | | $71.09 | $71.09 | $80.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.09 / $80.61 / $80.61
| Professional | | $71.09 | $80.61 | $80.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.18 / $91.52 / $165.24
| Professional | | $72.18 | $91.52 | $165.24 |