- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.39 / $31.40 / $46.00
| Professional | | $26.39 | $31.40 | $46.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.74 / $48.78 / $56.58
| Professional | | $47.74 | $48.78 | $56.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.30 / $61.30 / $61.30
| Facility | | $61.30 | $61.30 | $61.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.16 / $32.02 / $40.96
| Professional | | $25.16 | $32.02 | $40.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.21 / $52.59 / $72.68
| Professional | | $38.21 | $52.59 | $72.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.90 / $48.34 / $50.00
| Facility | | $37.90 | $48.34 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.05 / $55.00 / $99.01
| Professional | | $30.05 | $55.00 | $99.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $205.87 / $226.29 / $226.29
| Facility | | $205.87 | $226.29 | $226.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.41 / $325.83 / $413.25
| Professional | | $63.41 | $325.83 | $413.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.60 / $46.19 / $63.41
| Facility | | $33.60 | $46.19 | $63.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.84 / $49.48 / $56.22
| Professional | | $43.84 | $49.48 | $56.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.73 / $44.54 / $88.27
| Professional | | $30.73 | $44.54 | $88.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.75 / $46.19 / $63.34
| Facility | | $31.75 | $46.19 | $63.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.50 / $60.40 / $98.37
| Professional | | $31.50 | $60.40 | $98.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.47 / $46.44 / $67.45
| Professional | | $36.47 | $46.44 | $67.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.51 / $48.78 / $67.81
| Professional | | $42.51 | $48.78 | $67.81 |