- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $74.13 / $87.10
| Facility | | $66.07 | $74.13 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.26 / $75.86 / $117.49
| Professional | | $60.26 | $75.86 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $52.48 / $61.66
| Professional | | $51.29 | $52.48 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.13 / $79.43 / $141.25
| Professional | | $74.13 | $79.43 | $141.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.65 / $109.65 / $109.65
| Facility | | $109.65 | $109.65 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $83.18 / $125.89
| Professional | | $57.54 | $83.18 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.13 / $107.15 / $162.18
| Professional | | $74.13 | $107.15 | $162.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $79.43 / $83.18
| Facility | | $79.43 | $79.43 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $85.11 / $162.18
| Professional | | $57.54 | $85.11 | $162.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $77.62 / $81.28 / $389.05
| Professional | | $77.62 | $81.28 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.61 / $74.13 / $95.50
| Facility | | $67.61 | $74.13 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.66 / $81.28 / $173.78
| Professional | | $61.66 | $81.28 | $173.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.18 / $85.11 / $104.71
| Professional | | $69.18 | $85.11 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.13 / $87.10 / $112.20
| Professional | | $74.13 | $87.10 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $72.44 / $97.72
| Professional | | $18.62 | $72.44 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.07 / $87.10 / $151.36
| Professional | | $66.07 | $87.10 | $151.36 |