- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.08 / $44.24 / $50.22
| Facility | | $34.08 | $44.24 | $50.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.58 / $44.84 / $58.59
| Professional | | $33.58 | $44.84 | $58.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.08 / $30.08 / $30.08
| Professional | | $30.08 | $30.08 | $30.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.92 / $39.00 / $43.61
| Facility | | $35.92 | $39.00 | $43.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.50 / $36.47 / $36.47
| Professional | | $32.50 | $36.47 | $36.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.28 / $68.28 / $68.28
| Facility | | $68.28 | $68.28 | $68.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.64 / $41.02 / $41.02
| Facility | | $38.64 | $41.02 | $41.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.86 / $34.86 / $41.02
| Professional | | $34.86 | $34.86 | $41.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.61 / $305.60 / $324.33
| Facility | | $138.61 | $305.60 | $324.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $366.48 / $375.26 / $435.30
| Professional | | $366.48 | $375.26 | $435.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.69 / $50.22 / $68.28
| Facility | | $18.69 | $50.22 | $68.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.05 / $58.04 / $68.28
| Professional | | $23.05 | $58.04 | $68.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.69 / $48.87 / $68.28
| Facility | | $18.69 | $48.87 | $68.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.86 / $34.86 / $54.20
| Professional | | $34.86 | $34.86 | $54.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.13 / $31.49 / $41.54
| Professional | | $24.13 | $31.49 | $41.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.08 / $29.08 / $68.28
| Professional | | $29.08 | $29.08 | $68.28 |