- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.56 / $51.11 / $97.75
| Facility | | $40.56 | $51.11 | $97.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.60 / $46.40 / $2,887.92
| Professional | | $44.60 | $46.40 | $2,887.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.68 / $35.68 / $44.60
| Facility | | $35.68 | $35.68 | $44.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.38 / $44.60 / $53.64
| Professional | | $39.38 | $44.60 | $53.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.51 / $37.51 / $39.39
| Facility | | $37.51 | $37.51 | $39.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.51 / $37.51 / $37.51
| Professional | | $37.51 | $37.51 | $37.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.42 / $42.07 / $44.60
| Facility | | $39.42 | $42.07 | $44.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.60 / $44.60 / $44.60
| Professional | | $44.60 | $44.60 | $44.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.07 / $63.11 / $332.00
| Facility | | $42.07 | $63.11 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.28 / $46.28 / $62.44
| Professional | | $46.28 | $46.28 | $62.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.60 / $44.60 / $45.44
| Facility | | $44.60 | $44.60 | $45.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.60 / $44.60 / $45.44
| Professional | | $44.60 | $44.60 | $45.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.70 / $56.70 / $56.70
| Facility | | $56.70 | $56.70 | $56.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.42 / $42.07 / $555.00
| Facility | | $39.42 | $42.07 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.76 / $44.60 / $57.22
| Professional | | $37.76 | $44.60 | $57.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.14 / $44.60 / $62.50
| Professional | | $40.14 | $44.60 | $62.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.44 / $45.44 / $45.44
| Facility | | $45.44 | $45.44 | $45.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.14 / $44.60 / $45.44
| Professional | | $20.14 | $44.60 | $45.44 |