- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $38.02 / $77.62
| Facility | | $28.18 | $38.02 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $36.31 / $91.20
| Professional | | $25.12 | $36.31 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $37.15 / $37.15 / $51.29
| Professional | 25 | $37.15 | $37.15 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.15 / $85.11 / $223.87
| Facility | | $37.15 | $85.11 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $50.12 / $128.82
| Professional | | $30.90 | $50.12 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $47.86 / $69.18
| Professional | | $33.11 | $47.86 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $61.66 / $104.71
| Professional | | $33.88 | $61.66 | $104.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $64.57 / $7,079.46
| Facility | | $40.74 | $64.57 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $56.23 / $87.10
| Professional | | $31.62 | $56.23 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $57.54 / $102.33
| Professional | | $31.62 | $57.54 | $102.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.15 / $85.11 / $223.87
| Facility | | $37.15 | $85.11 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $50.12 / $128.82
| Professional | | $30.90 | $50.12 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $30.20 / $30.20
| Professional | | $30.20 | $30.20 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $43.65 / $43.65
| Facility | | $43.65 | $43.65 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $52.48 / $117.49
| Professional | | $31.62 | $52.48 | $117.49 |