- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.38 / $46.96 / $67.02
| Facility | | $33.38 | $46.96 | $67.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.38 / $40.18 / $92.18
| Professional | | $33.38 | $40.18 | $92.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.26 / $37.58 / $84.87
| Professional | | $30.26 | $37.58 | $84.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.28 / $52.28 / $52.28
| Facility | | $52.28 | $52.28 | $52.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.28 / $52.28 / $52.28
| Professional | | $52.28 | $52.28 | $52.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.38 / $41.38 / $125.00
| Facility | | $41.38 | $41.38 | $125.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.79 / $54.01 / $109.71
| Professional | | $37.79 | $54.01 | $109.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.00 / $60.20 / $324.00
| Facility | | $25.00 | $60.20 | $324.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.11 / $49.81 / $74.54
| Professional | | $36.11 | $49.81 | $74.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.83 / $42.19 / $77.25
| Professional | | $27.83 | $42.19 | $77.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.38 / $41.38 / $597.00
| Facility | | $41.38 | $41.38 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.69 / $53.06 / $107.48
| Professional | | $38.69 | $53.06 | $107.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.54 / $41.61 / $94.52
| Professional | | $31.54 | $41.61 | $94.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.07 / $39.07 / $127.54
| Facility | | $39.07 | $39.07 | $127.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.83 / $45.54 / $92.57
| Professional | | $27.83 | $45.54 | $92.57 |