- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.74 / $64.94 / $73.47
| Facility | | $60.74 | $64.94 | $73.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.78 / $64.94 / $81.23
| Professional | | $55.78 | $64.94 | $81.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.13 / $77.97 / $134.63
| Professional | | $75.13 | $77.97 | $134.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108.73 / $108.73 / $108.73
| Facility | | $108.73 | $108.73 | $108.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.00 / $71.17 / $134.34
| Professional | | $50.00 | $71.17 | $134.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.05 / $102.92 / $154.03
| Professional | | $72.05 | $102.92 | $154.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.70 / $70.72 / $136.50
| Professional | | $53.70 | $70.72 | $136.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.74 / $64.94 / $73.47
| Facility | | $60.74 | $64.94 | $73.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.99 / $69.25 / $115.68
| Professional | | $56.99 | $69.25 | $115.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.44 / $65.36 / $85.94
| Professional | | $54.44 | $65.36 | $85.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.85 / $62.38 / $84.27
| Professional | | $51.85 | $62.38 | $84.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108.73 / $108.73 / $108.73
| Facility | | $108.73 | $108.73 | $108.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.58 / $69.00 / $146.69
| Professional | | $49.58 | $69.00 | $146.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.08 / $67.98 / $79.44
| Facility | | $60.08 | $67.98 | $79.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.08 / $67.87 / $72.01
| Professional | | $60.08 | $67.87 | $72.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.04 / $72.22 / $128.72
| Professional | | $55.04 | $72.22 | $128.72 |