- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.02 / $25.81 / $25.81
| Facility | | $24.02 | $25.81 | $25.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.87 / $27.57 / $64.44
| Professional | | $22.87 | $27.57 | $64.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.54 / $125.54 / $125.54
| Facility | | $125.54 | $125.54 | $125.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.78 / $50.92 / $178.40
| Professional | | $30.78 | $50.92 | $178.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.67 / $126.32 / $161.00
| Facility | | $28.67 | $126.32 | $161.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.15 / $47.93 / $63.69
| Professional | | $33.15 | $47.93 | $63.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.67 / $145.69 / $179.05
| Facility | | $33.67 | $145.69 | $179.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.70 / $24.70 / $34.63
| Professional | | $24.70 | $24.70 | $34.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.23 / $25.23 / $32.15
| Facility | | $25.23 | $25.23 | $32.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.38 / $39.47 / $59.25
| Professional | | $30.38 | $39.47 | $59.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.79 / $63.30 / $81.65
| Professional | | $33.79 | $63.30 | $81.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.40 / $43.49 / $64.15
| Professional | | $33.40 | $43.49 | $64.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.54 / $125.54 / $125.54
| Facility | | $125.54 | $125.54 | $125.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.78 / $50.07 / $178.40
| Professional | | $30.78 | $50.07 | $178.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.86 / $41.46 / $56.81
| Professional | | $28.86 | $41.46 | $56.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.00 / $41.97 / $70.52
| Professional | | $28.00 | $41.97 | $70.52 |