- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.09 / $38.54 / $58.26
| Facility | | $25.09 | $38.54 | $58.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.58 / $35.27 / $76.73
| Professional | | $21.58 | $35.27 | $76.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.69 / $114.90 / $114.90
| Facility | | $21.69 | $114.90 | $114.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.50 / $63.97 / $243.64
| Professional | | $34.50 | $63.97 | $243.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.77 / $26.77 / $33.97
| Facility | | $26.77 | $26.77 | $33.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.79 / $44.75 / $65.00
| Professional | | $30.79 | $44.75 | $65.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.39 / $31.39 / $31.39
| Facility | | $31.39 | $31.39 | $31.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.74 / $48.94 / $85.41
| Professional | | $27.74 | $48.94 | $85.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.54 / $23.54 / $30.00
| Facility | | $23.54 | $23.54 | $30.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.11 / $39.29 / $65.50
| Professional | | $22.11 | $39.29 | $65.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.08 / $65.25 / $104.57
| Professional | | $39.08 | $65.25 | $104.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.22 / $66.05 / $119.55
| Professional | | $51.22 | $66.05 | $119.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.90 / $114.90 / $114.90
| Facility | | $114.90 | $114.90 | $114.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.60 / $79.67 / $243.64
| Professional | | $41.60 | $79.67 | $243.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.03 / $19.82 / $28.94
| Facility | | $18.03 | $19.82 | $28.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.43 / $41.31 / $76.65
| Professional | | $29.43 | $41.31 | $76.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.42 / $63.48 / $105.26
| Professional | | $40.42 | $63.48 | $105.26 |