- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.57 / $33.54 / $71.06
| Facility | | $32.57 | $33.54 | $71.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.50 / $32.57 / $36.88
| Professional | | $29.50 | $32.57 | $36.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.33 / $59.05 / $116.65
| Facility | | $23.33 | $59.05 | $116.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.98 / $30.98 / $30.98
| Professional | | $30.98 | $30.98 | $30.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.35 / $31.35 / $35.75
| Facility | | $31.35 | $31.35 | $35.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.35 / $31.35 / $31.35
| Professional | | $31.35 | $31.35 | $31.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.54 / $140.43 / $171.75
| Facility | | $43.54 | $140.43 | $171.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $678.95 / $678.95 / $678.95
| Professional | | $678.95 | $678.95 | $678.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.33 / $30.61 / $43.24
| Facility | | $14.33 | $30.61 | $43.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.92 / $22.86 / $32.74
| Professional | | $11.92 | $22.86 | $32.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.40 / $34.00 / $73.70
| Professional | | $27.40 | $34.00 | $73.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.50 / $32.57 / $47.20
| Facility | | $14.50 | $32.57 | $47.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.35 / $31.35 / $38.40
| Professional | | $31.35 | $31.35 | $38.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.73 / $32.57 / $34.21
| Professional | | $30.73 | $32.57 | $34.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.73 / $30.73 / $43.02
| Professional | | $30.73 | $30.73 | $43.02 |