- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.65 / $53.76 / $73.13
| Facility | | $41.65 | $53.76 | $73.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.14 / $44.32 / $70.42
| Professional | | $36.14 | $44.32 | $70.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.58 / $40.04 / $94.54
| Professional | | $31.58 | $40.04 | $94.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.09 / $58.09 / $58.09
| Facility | | $58.09 | $58.09 | $58.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.09 / $58.09 / $58.09
| Professional | | $58.09 | $58.09 | $58.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.70 / $65.15 / $125.00
| Facility | | $49.70 | $65.15 | $125.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.45 / $58.91 / $124.14
| Professional | | $40.45 | $58.91 | $124.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.00 / $66.08 / $332.00
| Facility | | $28.00 | $66.08 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.00 / $55.35 / $82.83
| Professional | | $40.00 | $55.35 | $82.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.28 / $50.64 / $86.45
| Professional | | $31.28 | $50.64 | $86.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.15 / $65.15 / $597.00
| Facility | | $65.15 | $65.15 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.96 / $58.09 / $122.62
| Professional | | $41.96 | $58.09 | $122.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.22 / $46.75 / $111.94
| Professional | | $36.22 | $46.75 | $111.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.72 / $43.72 / $113.13
| Facility | | $43.72 | $43.72 | $113.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.28 / $55.15 / $103.59
| Professional | | $31.28 | $55.15 | $103.59 |