- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.30 / $64.75 / $94.47
| Facility | | $51.30 | $64.75 | $94.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.93 / $63.70 / $142.97
| Professional | | $43.93 | $63.70 | $142.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.68 / $231.90 / $231.90
| Facility | | $44.68 | $231.90 | $231.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.07 / $118.04 / $402.01
| Professional | | $59.07 | $118.04 | $402.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.95 / $53.95 / $68.45
| Facility | | $53.95 | $53.95 | $68.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.84 / $96.83 / $137.85
| Professional | | $68.84 | $96.83 | $137.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.30 / $63.30 / $63.30
| Facility | | $63.30 | $63.30 | $63.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.66 / $89.71 / $150.78
| Professional | | $51.66 | $89.71 | $150.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.50 / $47.50 / $60.54
| Facility | | $47.50 | $47.50 | $60.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.78 / $63.60 / $106.00
| Professional | | $35.78 | $63.60 | $106.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.56 / $127.92 / $170.06
| Professional | | $67.56 | $127.92 | $170.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.19 / $107.39 / $202.22
| Professional | | $83.19 | $107.39 | $202.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $231.90 / $231.90 / $231.90
| Facility | | $231.90 | $231.90 | $231.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.22 / $131.02 / $402.01
| Professional | | $69.22 | $131.02 | $402.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.16 / $95.94 / $160.00
| Professional | | $66.16 | $95.94 | $160.00 |