- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $66.07 / $97.72
| Facility | | $33.11 | $66.07 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $38.02 / $63.10
| Professional | | $28.18 | $38.02 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $56.23 / $109.65
| Professional | | $35.48 | $56.23 | $109.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.89 / $147.91 / $234.42
| Facility | | $125.89 | $147.91 | $234.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $100.00 / $134.90
| Professional | | $51.29 | $100.00 | $134.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $42.66 / $63.10
| Facility | | $31.62 | $42.66 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $89.13 / $141.25
| Professional | | $54.95 | $89.13 | $141.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $42.66 / $63.10
| Facility | | $32.36 | $42.66 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.23 / $97.72 / $302.00
| Professional | | $56.23 | $97.72 | $302.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $70.79
| Professional | | $32.36 | $33.11 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $72.44 / $138.04
| Professional | | $41.69 | $72.44 | $138.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.61 / $67.61 / $218.78
| Facility | | $67.61 | $67.61 | $218.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $102.33 / $302.00
| Professional | | $47.86 | $102.33 | $302.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.66 / $70.79 / $97.72
| Professional | | $42.66 | $70.79 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $70.79 / $123.03
| Professional | | $43.65 | $70.79 | $123.03 |