- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.11 / $35.36 / $60.42
| Facility | | $25.11 | $35.36 | $60.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.11 / $35.36 / $54.57
| Professional | | $25.11 | $35.36 | $54.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.06 / $66.00 / $155.68
| Professional | | $55.06 | $66.00 | $155.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.71 / $48.08 / $48.08
| Facility | | $44.71 | $48.08 | $48.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.08 / $48.08 / $48.08
| Professional | | $48.08 | $48.08 | $48.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.66 / $69.66 / $69.66
| Facility | | $69.66 | $69.66 | $69.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.73 / $31.73 / $31.73
| Professional | | $31.73 | $31.73 | $31.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.71 / $105.61 / $332.00
| Facility | | $57.71 | $105.61 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.71 / $77.91 / $125.23
| Professional | | $57.71 | $77.91 | $125.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.03 / $48.03 / $70.00
| Facility | | $48.03 | $48.03 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.03 / $70.00 / $70.00
| Professional | | $48.03 | $70.00 | $70.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.66 / $69.66 / $597.00
| Facility | | $69.66 | $69.66 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.73 / $31.73 / $98.84
| Professional | | $31.73 | $31.73 | $98.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.19 / $34.63 / $63.48
| Professional | | $19.19 | $34.63 | $63.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.00 / $70.00 / $70.00
| Facility | | $70.00 | $70.00 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.03 / $70.00 / $70.00
| Professional | | $48.03 | $70.00 | $70.00 |