- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.20 / $44.20 / $54.36
| Facility | | $41.20 | $44.20 | $54.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.18 / $43.43 / $62.15
| Professional | | $36.18 | $43.43 | $62.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.78 / $39.79 / $45.33
| Professional | | $32.78 | $39.79 | $45.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.34 / $65.34 / $65.34
| Facility | | $65.34 | $65.34 | $65.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.56 / $46.56 / $46.56
| Facility | | $46.56 | $46.56 | $46.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.99 / $57.44 / $96.00
| Professional | | $32.99 | $57.44 | $96.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $163.47 / $177.51 / $177.51
| Facility | | $163.47 | $177.51 | $177.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $250.00 / $330.34 / $330.34
| Professional | | $250.00 | $330.34 | $330.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.58 / $52.25 / $99.12
| Facility | | $36.58 | $52.25 | $99.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.42 / $45.69 / $65.79
| Professional | | $38.42 | $45.69 | $65.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.33 / $35.83 / $37.45
| Professional | | $34.33 | $35.83 | $37.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.58 / $52.25 / $101.04
| Facility | | $36.58 | $52.25 | $101.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.96 / $62.70 / $113.58
| Professional | | $34.96 | $62.70 | $113.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.30 / $56.91 / $85.66
| Professional | | $41.30 | $56.91 | $85.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.19 / $35.86 / $50.20
| Professional | | $31.19 | $35.86 | $50.20 |