- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.30 / $102.34 / $141.83
| Facility | | $67.30 | $102.34 | $141.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.94 / $77.02 / $115.35
| Professional | | $61.94 | $77.02 | $115.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.43 / $77.59 / $145.87
| Professional | | $61.43 | $77.59 | $145.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.66 / $100.66 / $100.66
| Facility | | $100.66 | $100.66 | $100.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $100.66 / $100.66 / $118.33
| Professional | | $100.66 | $100.66 | $118.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.69 / $110.69 / $110.69
| Facility | | $110.69 | $110.69 | $110.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.54 / $100.93 / $236.13
| Professional | | $71.54 | $100.93 | $236.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.52 / $147.69 / $332.00
| Facility | | $74.52 | $147.69 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.20 / $114.05 / $159.66
| Professional | | $89.20 | $114.05 | $159.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.87 / $73.58 / $103.01
| Facility | | $66.87 | $73.58 | $103.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.63 / $74.17 / $137.87
| Professional | | $64.63 | $74.17 | $137.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.69 / $555.00 / $597.00
| Facility | | $110.69 | $555.00 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.05 / $108.20 / $228.10
| Professional | | $71.05 | $108.20 | $228.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.52 / $90.47 / $187.19
| Professional | | $70.52 | $90.47 | $187.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.17 / $73.17 / $103.01
| Facility | | $73.17 | $73.17 | $103.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.63 / $80.47 / $167.66
| Professional | | $64.63 | $80.47 | $167.66 |