- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.39 / $36.04 / $38.93
| Facility | | $27.39 | $36.04 | $38.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.89 / $36.04 / $48.06
| Professional | | $23.89 | $36.04 | $48.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.87 / $31.34 / $35.04
| Facility | | $28.87 | $31.34 | $35.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.12 / $26.12 / $29.32
| Professional | | $26.12 | $26.12 | $29.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.97 / $32.97 / $64.31
| Facility | | $32.97 | $32.97 | $64.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.02 / $28.02 / $28.02
| Professional | | $28.02 | $28.02 | $28.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.22 / $258.29 / $260.73
| Facility | | $92.22 | $258.29 | $260.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $273.35 / $273.35 / $411.68
| Professional | | $273.35 | $273.35 | $411.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.04 / $43.21 / $68.45
| Facility | | $36.04 | $43.21 | $68.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.66 / $52.15 / $54.89
| Professional | | $46.66 | $52.15 | $54.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.00 / $63.12 / $108.10
| Professional | | $41.00 | $63.12 | $108.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.53 / $43.21 / $68.73
| Facility | | $36.53 | $43.21 | $68.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.02 / $28.02 / $46.41
| Professional | | $28.02 | $28.02 | $46.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.39 / $25.31 / $33.39
| Professional | | $19.39 | $25.31 | $33.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.57 / $54.89 / $74.09
| Professional | | $23.57 | $54.89 | $74.09 |