- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.69 / $54.12 / $62.00
| Facility | | $46.69 | $54.12 | $62.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.30 / $51.20 / $62.00
| Professional | | $42.30 | $51.20 | $62.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.22 / $47.43 / $124.91
| Facility | | $39.22 | $47.43 | $124.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.09 / $54.78 / $101.08
| Professional | | $42.09 | $54.78 | $101.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.10 / $61.52 / $92.98
| Professional | | $47.10 | $61.52 | $92.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.47 / $69.45 / $122.70
| Professional | | $52.47 | $69.45 | $122.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.53 / $62.89 / $85.13
| Professional | | $51.53 | $62.89 | $85.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.27 / $57.96 / $105.00
| Professional | | $44.27 | $57.96 | $105.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $230.12 / $250.85 / $250.85
| Facility | | $230.12 | $250.85 | $250.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $322.24 / $322.24 / $369.98
| Professional | | $322.24 | $322.24 | $369.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $32.34
| Professional | | $32.34 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.23 / $60.46 / $83.72
| Facility | | $46.23 | $60.46 | $83.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.81 / $69.53 / $130.00
| Professional | | $52.81 | $69.53 | $130.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.90 / $64.50 / $87.60
| Professional | | $51.90 | $64.50 | $87.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.72 / $69.29 / $175.73
| Professional | | $48.72 | $69.29 | $175.73 |