- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.82 / $50.59 / $67.45
| Facility | | $32.82 | $50.59 | $67.45 |
- Facility/Professional
- Facility
- Modifier
- 25
- Low / Median / High Price
- $33.52 / $33.52 / $480.48
| Facility | 25 | $33.52 | $33.52 | $480.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.40 / $70.39 / $213.01
| Professional | | $37.40 | $70.39 | $213.01 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $43.41 / $120.72 / $254.00
| Professional | 25 | $43.41 | $120.72 | $254.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.20 / $84.32 / $381.08
| Facility | | $41.20 | $84.32 | $381.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.24 / $131.10 / $197.40
| Professional | | $86.24 | $131.10 | $197.40 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $68.91 / $103.65 / $156.54
| Professional | 25 | $68.91 | $103.65 | $156.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $163.77 / $234.38 / $513.23
| Facility | | $163.77 | $234.38 | $513.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.45 / $157.08 / $274.05
| Professional | | $81.45 | $157.08 | $274.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.91 / $210.36 / $484.18
| Facility | | $141.91 | $210.36 | $484.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.52 / $143.68 / $238.50
| Professional | | $86.52 | $143.68 | $238.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.95 / $86.82 / $148.82
| Facility | | $45.95 | $86.82 | $148.82 |
- Facility/Professional
- Facility
- Modifier
- 25
- Low / Median / High Price
- $227.04 / $230.14 / $1,130.72
| Facility | 25 | $227.04 | $230.14 | $1,130.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.72 / $190.03 / $302.33
| Professional | | $84.72 | $190.03 | $302.33 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $129.69 / $211.50 / $232.19
| Professional | 25 | $129.69 | $211.50 | $232.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.76 / $146.60 / $239.78
| Professional | | $78.76 | $146.60 | $239.78 |