- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.26 / $49.11 / $60.66
| Facility | | $41.26 | $49.11 | $60.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.74 / $37.47 / $51.56
| Professional | | $28.74 | $37.47 | $51.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.42 / $69.42 / $190.00
| Facility | | $69.42 | $69.42 | $190.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.54 / $56.25 / $220.76
| Professional | | $36.54 | $56.25 | $220.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.76 / $34.90 / $36.57
| Facility | | $30.76 | $34.90 | $36.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.26 / $65.95 / $98.32
| Professional | | $44.26 | $65.95 | $98.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.00 / $39.00 / $76.63
| Professional | | $28.00 | $39.00 | $76.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.83 / $44.19 / $48.18
| Facility | | $37.83 | $44.19 | $48.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.83 / $39.17 / $48.18
| Professional | | $37.83 | $39.17 | $48.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.21 / $70.54 / $103.32
| Professional | | $36.21 | $70.54 | $103.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $285.89 / $436.93 / $453.05
| Facility | | $285.89 | $436.93 | $453.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.10 / $262.99 / $309.39
| Professional | | $63.10 | $262.99 | $309.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.42 / $69.42 / $190.00
| Facility | | $69.42 | $69.42 | $190.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.18 / $54.81 / $220.76
| Professional | | $37.18 | $54.81 | $220.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.72 / $51.98 / $131.52
| Professional | | $36.72 | $51.98 | $131.52 |