- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.40 / $42.39 / $46.14
| Facility | | $28.40 | $42.39 | $46.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.87 / $38.71 / $53.51
| Professional | | $31.87 | $38.71 | $53.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.99 / $41.16 / $70.06
| Professional | | $34.99 | $41.16 | $70.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.79 / $61.79 / $61.79
| Facility | | $61.79 | $61.79 | $61.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.79 / $61.79 / $61.79
| Professional | | $61.79 | $61.79 | $61.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.31 / $53.31 / $53.31
| Facility | | $53.31 | $53.31 | $53.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.56 / $42.56 / $42.56
| Professional | | $42.56 | $42.56 | $42.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.78 / $107.04 / $332.00
| Facility | | $52.78 | $107.04 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.41 / $73.89 / $117.47
| Professional | | $55.41 | $73.89 | $117.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.47 / $43.98 / $43.98
| Facility | | $38.47 | $43.98 | $43.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.47 / $50.79 / $78.98
| Professional | | $38.47 | $50.79 | $78.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.31 / $53.31 / $74,999.25
| Facility | | $53.31 | $53.31 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.28 / $42.56 / $108.09
| Professional | | $39.28 | $42.56 | $108.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.32 / $52.78 / $107.32
| Professional | | $35.32 | $52.78 | $107.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.98 / $50.79 / $50.79
| Facility | | $43.98 | $50.79 | $50.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.64 / $50.79 / $85.66
| Professional | | $41.64 | $50.79 | $85.66 |