- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.58 / $31.14 / $51.25
| Facility | | $23.58 | $31.14 | $51.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.17 / $31.14 / $51.25
| Professional | | $22.17 | $31.14 | $51.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.15 / $27.15 / $80.53
| Professional | | $27.15 | $27.15 | $80.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.98 / $45.14 / $45.14
| Facility | | $41.98 | $45.14 | $45.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.14 / $45.14 / $45.14
| Professional | | $45.14 | $45.14 | $45.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.71 / $38.29 / $38.29
| Facility | | $34.71 | $38.29 | $38.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.54 / $32.54 / $45.05
| Professional | | $32.54 | $32.54 | $45.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.19 / $121.93 / $332.00
| Facility | | $54.19 | $121.93 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.69 / $47.18 / $99.17
| Professional | | $30.69 | $47.18 | $99.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.36 / $38.36 / $38.36
| Facility | | $38.36 | $38.36 | $38.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.34 / $33.29 / $45.14
| Professional | | $31.34 | $33.29 | $45.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.71 / $38.29 / $555.00
| Facility | | $34.71 | $38.29 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.54 / $35.97 / $82.00
| Professional | | $32.54 | $35.97 | $82.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.02 / $29.28 / $49.62
| Professional | | $18.02 | $29.28 | $49.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.34 / $31.34 / $38.79
| Facility | | $31.34 | $31.34 | $38.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.34 / $31.34 / $38.36
| Professional | | $31.34 | $31.34 | $38.36 |