- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.07 / $90.09 / $95.55
| Facility | | $61.07 | $90.09 | $95.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.04 / $62.20 / $76.64
| Professional | | $52.04 | $62.20 | $76.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.62 / $106.75 / $106.75
| Professional | | $60.62 | $106.75 | $106.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.72 / $73.39 / $125.38
| Professional | | $70.72 | $73.39 | $125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.50 / $102.50 / $102.50
| Facility | | $102.50 | $102.50 | $102.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.00 / $67.00 / $125.73
| Professional | | $47.00 | $67.00 | $125.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.94 / $96.87 / $144.97
| Professional | | $67.94 | $96.87 | $144.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.49 / $66.40 / $136.50
| Professional | | $48.49 | $66.40 | $136.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.07 / $90.09 / $95.55
| Facility | | $61.07 | $90.09 | $95.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.39 / $65.67 / $135.85
| Professional | | $55.39 | $65.67 | $135.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.23 / $60.86 / $80.56
| Professional | | $51.23 | $60.86 | $80.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.80 / $58.08 / $79.37
| Professional | | $48.80 | $58.08 | $79.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.50 / $102.50 / $102.50
| Facility | | $102.50 | $102.50 | $102.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.85 / $65.00 / $131.94
| Professional | | $46.85 | $65.00 | $131.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.69 / $63.96 / $73.98
| Facility | | $56.69 | $63.96 | $73.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.69 / $63.87 / $67.28
| Professional | | $56.69 | $63.87 | $67.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.25 / $67.25 / $125.94
| Professional | | $51.25 | $67.25 | $125.94 |