- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.57 / $33.06 / $41.48
| Facility | | $27.57 | $33.06 | $41.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.70 / $38.11 / $51.39
| Professional | | $31.70 | $38.11 | $51.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.12 / $106.04 / $198.20
| Facility | | $45.12 | $106.04 | $198.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.18 / $29.18 / $57.26
| Professional | | $29.18 | $29.18 | $57.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.79 / $29.79 / $36.53
| Facility | | $29.79 | $29.79 | $36.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.54 / $42.39 / $85.50
| Facility | | $37.54 | $42.39 | $85.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.14 / $48.06 / $76.14
| Professional | | $36.14 | $48.06 | $76.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.31 / $180.26 / $180.26
| Facility | | $84.31 | $180.26 | $180.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $227.75 / $227.75 / $295.64
| Professional | | $227.75 | $227.75 | $295.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.11 / $45.41 / $73.02
| Facility | | $34.11 | $45.41 | $73.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.57 / $58.18 / $72.23
| Professional | | $34.57 | $58.18 | $72.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.65 / $44.52 / $73.20
| Professional | | $32.65 | $44.52 | $73.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.46 / $45.41 / $73.81
| Facility | | $34.46 | $45.41 | $73.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.10 / $51.85 / $95.85
| Professional | | $37.10 | $51.85 | $95.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.18 / $40.93 / $67.08
| Professional | | $31.18 | $40.93 | $67.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.09 / $34.57 / $47.83
| Professional | | $30.09 | $34.57 | $47.83 |