- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.06 / $38.50 / $223.70
| Facility | | $33.06 | $38.50 | $223.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.44 / $38.00 / $62.34
| Professional | | $26.44 | $38.00 | $62.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.63 / $43.08 / $113.46
| Facility | | $35.63 | $43.08 | $113.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $48.69 / $118.69
| Professional | | $37.15 | $48.69 | $118.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.99 / $43.16 / $100.60
| Professional | | $34.99 | $43.16 | $100.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $36.31 / $46.51
| Professional | | $36.31 | $36.31 | $46.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.34 / $45.34 / $61.21
| Professional | | $45.34 | $45.34 | $61.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.86 / $50.21 / $92.58
| Professional | | $37.86 | $50.21 | $92.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.52 / $209.21 / $209.21
| Facility | | $75.52 | $209.21 | $209.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $340.83 / $340.83 / $340.83
| Professional | | $340.83 | $340.83 | $340.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $59.46
| Professional | | $32.34 | $32.34 | $59.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.47 / $49.27 / $69.43
| Facility | | $34.47 | $49.27 | $69.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $36.31 / $102.16
| Professional | | $36.31 | $36.31 | $102.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $125.64 / $125.64 / $125.64
| Professional | | $125.64 | $125.64 | $125.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.80 / $42.20 / $112.99
| Professional | | $30.80 | $42.20 | $112.99 |