- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $104.71 / $138.04
| Facility | | $56.23 | $104.71 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $53.70 / $85.11
| Professional | | $40.74 | $53.70 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.23 / $64.57 / $97.72
| Professional | | $56.23 | $64.57 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.26 / $93.33 / $147.91
| Professional | | $60.26 | $93.33 | $147.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.67 / $64.57 / $114.82
| Facility | | $44.67 | $64.57 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $63.10 / $100.00
| Professional | | $44.67 | $63.10 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $67.61
| Professional | | $32.36 | $33.11 | $67.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.28 / $120.23 / $125.89
| Facility | | $81.28 | $120.23 | $125.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $83.18 / $91.20
| Facility | | $83.18 | $83.18 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.44 / $109.65 / $158.49
| Professional | | $72.44 | $109.65 | $158.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.21 / $251.19 / $478.63
| Facility | | $186.21 | $251.19 | $478.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.61 / $89.13 / $128.82
| Professional | | $67.61 | $89.13 | $128.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $288.40 / $380.19 / $691.83
| Facility | | $288.40 | $380.19 | $691.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.57 / $91.20 / $158.49
| Professional | | $64.57 | $91.20 | $158.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $69.18 / $97.72
| Professional | | $44.67 | $69.18 | $97.72 |