- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.11 / $120.50 / $129.16
| Facility | | $34.11 | $120.50 | $129.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $36.64 / $102.08
| Professional | | $30.20 | $36.64 | $102.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.92 / $60.91 / $133.12
| Professional | | $33.92 | $60.91 | $133.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.21 / $104.25 / $138.56
| Facility | | $89.21 | $104.25 | $138.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.65 / $79.67 / $124.92
| Professional | | $38.65 | $79.67 | $124.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.12 / $38.65 / $70.39
| Facility | | $31.12 | $38.65 | $70.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.78 / $39.52 / $72.27
| Facility | | $30.78 | $39.52 | $72.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.89 / $71.48 / $514.16
| Professional | | $39.89 | $71.48 | $514.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.51 / $57.73 / $85.00
| Professional | | $21.51 | $57.73 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.12 / $38.65 / $71.67
| Facility | | $31.12 | $38.65 | $71.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.29 / $80.45 / $111.39
| Professional | | $59.29 | $80.45 | $111.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.43 / $74.90 / $143.82
| Facility | | $52.43 | $74.90 | $143.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.36 / $188.50 / $514.16
| Professional | | $46.36 | $188.50 | $514.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.52 / $65.00 / $69.83
| Professional | | $52.52 | $65.00 | $69.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.76 / $80.87 / $150.85
| Professional | | $38.76 | $80.87 | $150.85 |