- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.36 / $40.09 / $138.31
| Professional | | $30.36 | $40.09 | $138.31 |
- Facility/Professional
- Professional
- Modifier
- 22
- Low / Median / High Price
- $104.36 / $104.36 / $104.36
| Professional | 22 | $104.36 | $104.36 | $104.36 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $15.03 / $18.07 / $27.33
| Professional | 52 | $15.03 | $18.07 | $27.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.15 / $34.15 / $64.68
| Facility | | $34.15 | $34.15 | $64.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.75 / $58.88 / $212.65
| Professional | | $33.75 | $58.88 | $212.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.50 / $54.59 / $92.80
| Professional | | $23.50 | $54.59 | $92.80 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $21.39 / $30.21 / $46.40
| Professional | 52 | $21.39 | $30.21 | $46.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $52.84 / $54.91
| Facility | | $50.00 | $52.84 | $54.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.32 / $57.62 / $108.24
| Professional | | $30.32 | $57.62 | $108.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.38 / $36.38 / $36.38
| Facility | | $36.38 | $36.38 | $36.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.21 / $40.20 / $58.34
| Professional | | $23.21 | $40.20 | $58.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.61 / $55.95 / $97.94
| Professional | | $29.61 | $55.95 | $97.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.93 / $55.93 / $87.01
| Facility | | $55.93 | $55.93 | $87.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.93 / $55.93 / $109.41
| Professional | | $55.93 | $55.93 | $109.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.47 / $63.47 / $287.61
| Professional | | $36.47 | $63.47 | $287.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.66 / $32.86 / $34.31
| Facility | | $23.66 | $32.86 | $34.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.76 / $51.24 / $74.47
| Professional | | $33.76 | $51.24 | $74.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.33 / $51.49 / $104.34
| Professional | | $34.33 | $51.49 | $104.34 |