- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.07 / $38.36 / $41.12
| Facility | | $24.07 | $38.36 | $41.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.07 / $38.07 / $48.63
| Professional | | $24.07 | $38.07 | $48.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.12 / $40.69 / $78.98
| Professional | | $31.12 | $40.69 | $78.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.88 / $59.88 / $59.88
| Facility | | $59.88 | $59.88 | $59.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.88 / $59.88 / $59.88
| Professional | | $59.88 | $59.88 | $59.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.88 / $48.88 / $48.88
| Facility | | $48.88 | $48.88 | $48.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.69 / $38.69 / $38.69
| Professional | | $38.69 | $38.69 | $38.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.32 / $61.70 / $332.00
| Facility | | $37.32 | $61.70 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.71 / $57.90 / $86.85
| Professional | | $42.71 | $57.90 | $86.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.51 / $47.83 / $79.03
| Professional | | $31.51 | $47.83 | $79.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.88 / $555.00 / $74,999.25
| Facility | | $48.88 | $555.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.69 / $38.69 / $88.97
| Professional | | $38.69 | $38.69 | $88.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.51 / $48.74 / $96.74
| Professional | | $37.51 | $48.74 | $96.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.07 / $46.07 / $46.07
| Facility | | $46.07 | $46.07 | $46.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.93 / $46.07 / $79.03
| Professional | | $32.93 | $46.07 | $79.03 |