- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.58 / $70.42 / $98.24
| Facility | | $36.58 | $70.42 | $98.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.87 / $41.03 / $130.05
| Professional | | $28.87 | $41.03 | $130.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $62.56 / $133.52
| Professional | | $40.74 | $62.56 | $133.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.02 / $116.89 / $179.31
| Facility | | $100.02 | $116.89 | $179.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.71 / $90.45 / $135.11
| Professional | | $41.71 | $90.45 | $135.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.20 / $43.88 / $79.16
| Facility | | $32.20 | $43.88 | $79.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.77 / $43.97 / $79.16
| Facility | | $33.77 | $43.97 | $79.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.83 / $105.54 / $330.34
| Professional | | $54.83 | $105.54 | $330.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.49 / $58.40 / $85.00
| Professional | | $27.49 | $58.40 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.20 / $43.10 / $79.16
| Facility | | $32.20 | $43.10 | $79.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.80 / $90.42 / $122.64
| Professional | | $67.80 | $90.42 | $122.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $163.47 / $163.47 / $163.47
| Facility | | $163.47 | $163.47 | $163.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $250.00 / $330.34
| Professional | | $54.95 | $250.00 | $330.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.40 / $62.40 / $62.40
| Professional | | $62.40 | $62.40 | $62.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.69 / $75.38 / $78.14
| Professional | | $65.69 | $75.38 | $78.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.02 / $86.04 / $142.62
| Professional | | $50.02 | $86.04 | $142.62 |