- 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
- $37.07 / $56.94 / $225.09
| Professional | | $37.07 | $56.94 | $225.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108.55 / $123.16 / $129.05
| Facility | | $108.55 | $123.16 | $129.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.56 / $68.34 / $106.52
| Professional | | $45.56 | $68.34 | $106.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.83 / $39.00 / $78.92
| Professional | | $28.83 | $39.00 | $78.92 |
- 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 / $106.10
| Professional | | $36.21 | $70.54 | $106.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,266.55 / $1,532.15 / $2,573.05
| Facility | | $1,266.55 | $1,532.15 | $2,573.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $308.04 / $1,577.94 / $2,475.19
| Professional | | $308.04 | $1,577.94 | $2,475.19 |
- 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
- $37.42 / $55.09 / $225.09
| Professional | | $37.42 | $55.09 | $225.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.72 / $51.06 / $109.54
| Professional | | $36.72 | $51.06 | $109.54 |