- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.15 / $59.24 / $101.06
| Facility | | $42.15 | $59.24 | $101.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.11 / $46.10 / $83.76
| Professional | | $39.11 | $46.10 | $83.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.93 / $47.83 / $79.56
| Professional | | $37.93 | $47.83 | $79.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.48 / $62.48 / $62.48
| Facility | | $62.48 | $62.48 | $62.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.48 / $62.48 / $62.95
| Professional | | $62.48 | $62.48 | $62.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.27 / $69.27 / $69.27
| Facility | | $69.27 | $69.27 | $69.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.19 / $66.51 / $151.86
| Professional | | $34.19 | $66.51 | $151.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.86 / $52.16 / $332.00
| Facility | | $17.86 | $52.16 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.97 / $58.79 / $87.73
| Professional | | $44.97 | $58.79 | $87.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.72 / $54.17 / $99.94
| Professional | | $34.72 | $54.17 | $99.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124.75 / $124.75 / $124.75
| Facility | | $124.75 | $124.75 | $124.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.26 / $47.26 / $47.26
| Professional | | $47.26 | $47.26 | $47.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.27 / $69.27 / $597.00
| Facility | | $69.27 | $69.27 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.21 / $66.06 / $147.88
| Professional | | $36.21 | $66.06 | $147.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.58 / $52.19 / $134.15
| Professional | | $39.58 | $52.19 | $134.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.10 / $50.10 / $62.82
| Facility | | $50.10 | $50.10 | $62.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.57 / $56.34 / $108.90
| Professional | | $35.57 | $56.34 | $108.90 |