- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.03 / $65.95 / $90.84
| Facility | | $48.03 | $65.95 | $90.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.58 / $52.67 / $91.72
| Professional | | $44.58 | $52.67 | $91.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.04 / $55.28 / $91.00
| Professional | | $43.04 | $55.28 | $91.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.73 / $70.73 / $70.73
| Facility | | $70.73 | $70.73 | $70.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.73 / $70.73 / $72.17
| Professional | | $70.73 | $70.73 | $72.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.48 / $78.48 / $78.48
| Facility | | $78.48 | $78.48 | $78.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.08 / $75.95 / $172.90
| Professional | | $39.08 | $75.95 | $172.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.52 / $59.09 / $332.00
| Facility | | $20.52 | $59.09 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.60 / $67.48 / $100.62
| Professional | | $51.60 | $67.48 | $100.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.75 / $62.14 / $114.55
| Professional | | $39.75 | $62.14 | $114.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $465.68 / $465.68 / $493.60
| Facility | | $465.68 | $465.68 | $493.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.20 / $54.20 / $102.19
| Professional | | $54.20 | $54.20 | $102.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.48 / $78.48 / $597.00
| Facility | | $78.48 | $78.48 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.79 / $74.78 / $167.98
| Professional | | $41.79 | $74.78 | $167.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.26 / $58.91 / $148.88
| Professional | | $45.26 | $58.91 | $148.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.15 / $57.15 / $71.63
| Facility | | $57.15 | $57.15 | $71.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.75 / $64.62 / $124.94
| Professional | | $39.75 | $64.62 | $124.94 |