- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.32 / $67.93 / $111.71
| Facility | | $44.32 | $67.93 | $111.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $51.60 / $75.42
| Professional | | $40.74 | $51.60 | $75.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.40 / $66.40 / $66.40
| Professional | | $66.40 | $66.40 | $66.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.89 / $57.69 / $96.80
| Professional | | $43.89 | $57.69 | $96.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.56 / $70.56 / $70.56
| Facility | | $70.56 | $70.56 | $70.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.56 / $70.56 / $88.08
| Professional | | $70.56 | $70.56 | $88.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.88 / $65.88 / $65.88
| Facility | | $65.88 | $65.88 | $65.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.84 / $73.39 / $152.09
| Professional | | $38.84 | $73.39 | $152.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.30 / $62.12 / $332.00
| Facility | | $30.30 | $62.12 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.15 / $100.56 / $150.84
| Professional | | $71.15 | $100.56 | $150.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.42 / $59.86 / $59.86
| Facility | | $40.42 | $59.86 | $59.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.90 / $68.84 / $106.79
| Professional | | $50.90 | $68.84 | $106.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.88 / $65.88 / $74,999.25
| Facility | | $65.88 | $65.88 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.50 / $77.54 / $152.65
| Professional | | $45.50 | $77.54 | $152.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.02 / $72.93 / $146.55
| Professional | | $51.02 | $72.93 | $146.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.56 / $59.86 / $71.84
| Facility | | $47.56 | $59.86 | $71.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.90 / $70.04 / $120.89
| Professional | | $50.90 | $70.04 | $120.89 |