- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.20 / $31.20 / $80.34
| Facility | | $31.20 | $31.20 | $80.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.13 / $66.08 / $103.11
| Professional | | $29.13 | $66.08 | $103.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.60 / $103.77 / $238.36
| Professional | | $41.60 | $103.77 | $238.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $366.69 / $366.69 / $445.01
| Facility | | $366.69 | $366.69 | $445.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.54 / $76.33 / $197.85
| Professional | | $29.54 | $76.33 | $197.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.20 / $78.31 / $160.79
| Facility | | $31.20 | $78.31 | $160.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.11 / $69.89 / $158.44
| Facility | | $31.11 | $69.89 | $158.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.48 / $109.63 / $564.59
| Professional | | $68.48 | $109.63 | $564.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.40 / $186.31 / $220.60
| Professional | | $58.40 | $186.31 | $220.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.20 / $78.00 / $160.79
| Facility | | $31.20 | $78.00 | $160.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.02 / $108.18 / $258.70
| Professional | | $56.02 | $108.18 | $258.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.59 / $322.64 / $564.59
| Professional | | $62.59 | $322.64 | $564.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $41.69 / $106.80
| Professional | | $41.69 | $41.69 | $106.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.87 / $141.55 / $305.62
| Professional | | $73.87 | $141.55 | $305.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.31 / $103.93 / $207.85
| Professional | | $73.31 | $103.93 | $207.85 |