- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.72 / $118.53 / $267.06
| Facility | | $32.72 | $118.53 | $267.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.60 / $36.09 / $149.19
| Professional | | $29.60 | $36.09 | $149.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.50 / $37.15 / $65.70
| Professional | | $25.50 | $37.15 | $65.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.64 / $293.00 / $876.00
| Facility | | $35.64 | $293.00 | $876.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.19 / $45.86 / $94.41
| Professional | | $34.19 | $45.86 | $94.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.21 / $34.58 / $86.13
| Professional | | $24.21 | $34.58 | $86.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.47 / $33.47 / $33.47
| Facility | | $33.47 | $33.47 | $33.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.74 / $45.58 / $107.00
| Professional | | $33.74 | $45.58 | $107.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.34 / $35.47 / $43.54
| Professional | | $31.34 | $35.47 | $43.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.07 / $31.87 / $70.31
| Professional | | $26.07 | $31.87 | $70.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.88 / $67.88 / $147.69
| Facility | | $67.88 | $67.88 | $147.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $324.60 / $324.60 / $324.60
| Professional | | $324.60 | $324.60 | $324.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $42.03
| Professional | | $32.34 | $32.34 | $42.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.00 / $35.46 / $51.94
| Facility | | $27.00 | $35.46 | $51.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.17 / $47.20 / $83.33
| Professional | | $34.17 | $47.20 | $83.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.20 / $101.20 / $101.20
| Professional | | $101.20 | $101.20 | $101.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.06 / $35.83 / $53.28
| Professional | | $26.06 | $35.83 | $53.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.96 / $35.88 / $85.50
| Professional | | $24.96 | $35.88 | $85.50 |