- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.71 / $51.84 / $77.76
| Facility | | $44.71 | $51.84 | $77.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.71 / $51.84 / $64.54
| Professional | | $44.71 | $51.84 | $64.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.22 / $54.00 / $54.00
| Professional | | $33.22 | $54.00 | $54.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.25 / $29.25 / $30.71
| Facility | | $29.25 | $29.25 | $30.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.25 / $29.25 / $29.25
| Professional | | $29.25 | $29.25 | $29.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.54 / $32.47 / $55.08
| Facility | | $31.54 | $32.47 | $55.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.08 / $55.08 / $55.08
| Professional | | $55.08 | $55.08 | $55.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.46 / $50.19 / $332.00
| Facility | | $33.46 | $50.19 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.13 / $34.13 / $45.84
| Professional | | $34.13 | $34.13 | $45.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.13 / $35.46 / $35.46
| Facility | | $34.13 | $35.46 | $35.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.13 / $35.46 / $35.46
| Professional | | $34.13 | $35.46 | $35.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.47 / $32.47 / $597.00
| Facility | | $32.47 | $32.47 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $51.42 / $55.08
| Professional | | $4.00 | $51.42 | $55.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.00 / $54.00 / $72.89
| Professional | | $54.00 | $54.00 | $72.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.13 / $34.13 / $34.13
| Facility | | $34.13 | $34.13 | $34.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.37 / $34.13 / $35.46
| Professional | | $11.37 | $34.13 | $35.46 |