- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.73 / $29.06 / $33.22
| Facility | | $25.73 | $29.06 | $33.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.83 / $30.13 / $39.46
| Professional | | $23.83 | $30.13 | $39.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.00 / $27.47 / $32.32
| Professional | | $20.00 | $27.47 | $32.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.34 / $55.90 / $125.02
| Facility | | $21.34 | $55.90 | $125.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.64 / $27.57 / $39.13
| Professional | | $21.64 | $27.57 | $39.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.03 / $40.40 / $40.40
| Professional | | $35.03 | $40.40 | $40.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.71 / $29.71 / $29.71
| Facility | | $29.71 | $29.71 | $29.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.69 / $38.00 / $60.47
| Professional | | $27.69 | $38.00 | $60.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $143.82 / $155.99 / $547.76
| Facility | | $143.82 | $155.99 | $547.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $742.70 / $742.70 / $742.70
| Professional | | $742.70 | $742.70 | $742.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.40 / $34.69 / $47.46
| Facility | | $26.40 | $34.69 | $47.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.99 / $42.89 / $62.62
| Professional | | $33.99 | $42.89 | $62.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.18 / $34.90 / $43.85
| Professional | | $26.18 | $34.90 | $43.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.40 / $34.76 / $47.50
| Facility | | $26.40 | $34.76 | $47.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.09 / $40.53 / $79.41
| Professional | | $29.09 | $40.53 | $79.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.16 / $35.00 / $50.10
| Professional | | $27.16 | $35.00 | $50.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.16 / $33.08 / $45.25
| Professional | | $28.16 | $33.08 | $45.25 |