- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.71 / $51.87 / $90.70
| Professional | | $37.71 | $51.87 | $90.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.65 / $73.65 / $116.64
| Professional | | $73.65 | $73.65 | $116.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.05 / $67.88 / $90.50
| Facility | | $9.05 | $67.88 | $90.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.05 / $67.88 / $90.50
| Professional | | $9.05 | $67.88 | $90.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.46 / $60.46 / $80.95
| Facility | | $60.46 | $60.46 | $80.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.39 / $60.46 / $113.40
| Professional | | $51.39 | $60.46 | $113.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $319.00 / $332.00 / $332.00
| Facility | | $319.00 | $332.00 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.03 / $61.30 / $87.14
| Professional | | $54.03 | $61.30 | $87.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.86 / $85.47 / $90.01
| Professional | | $78.86 | $85.47 | $90.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.65 / $71.65 / $71.65
| Professional | | $71.65 | $71.65 | $71.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.46 / $60.46 / $80.95
| Facility | | $60.46 | $60.46 | $80.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.39 / $60.46 / $111.00
| Professional | | $51.39 | $60.46 | $111.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.48 / $55.11 / $85.93
| Professional | | $31.48 | $55.11 | $85.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.44 / $80.44 / $80.44
| Facility | | $80.44 | $80.44 | $80.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.44 / $80.44 / $90.01
| Professional | | $80.44 | $80.44 | $90.01 |