- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.72 / $90.51 / $100.63
| Facility | | $49.72 | $90.51 | $100.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.53 / $52.28 / $5,153.75
| Professional | | $47.53 | $52.28 | $5,153.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.53 / $57.36 / $108.85
| Facility | | $47.53 | $57.36 | $108.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.28 / $53.49 / $116.55
| Professional | | $52.28 | $53.49 | $116.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.83 / $44.83 / $119.55
| Facility | | $44.83 | $44.83 | $119.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.52 / $47.52 / $58.29
| Professional | | $47.52 | $47.52 | $58.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.52 / $59.41 / $100.40
| Facility | | $47.52 | $59.41 | $100.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.47 / $74.66 / $125.94
| Facility | | $40.47 | $74.66 | $125.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.37 / $56.74 / $116.55
| Professional | | $48.37 | $56.74 | $116.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.12 / $52.28 / $95.48
| Facility | | $44.12 | $52.28 | $95.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.28 / $52.28 / $52.28
| Professional | | $52.28 | $52.28 | $52.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.53 / $47.53 / $53.23
| Professional | | $47.53 | $47.53 | $53.23 |