- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $60.26 / $120.23
| Facility | | $40.74 | $60.26 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.90 / $40.74 / $6,918.31
| Professional | | $38.90 | $40.74 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $89.13
| Facility | | $50.12 | $50.12 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $39.81 / $51.29
| Professional | | $39.81 | $39.81 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $77.62 / $181.97
| Facility | | $39.81 | $77.62 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $41.69 / $74.13
| Professional | | $39.81 | $41.69 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.77 / $46.77 / $64.57
| Facility | | $46.77 | $46.77 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $93.33 / $93.33
| Professional | | $57.54 | $93.33 | $93.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.48 / $52.48 / $75.86
| Facility | | $52.48 | $52.48 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $58.88 / $234.42
| Professional | | $52.48 | $58.88 | $234.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $58.88 / $85.11
| Professional | | $39.81 | $58.88 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $74.13 / $162.18
| Professional | | $39.81 | $74.13 | $162.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $39.81 / $234.42
| Facility | | $39.81 | $39.81 | $234.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $79.43 / $234.42
| Professional | | $39.81 | $79.43 | $234.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $13.18
| Professional | | $10.72 | $10.72 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $46.77 / $46.77
| Facility | | $39.81 | $46.77 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $42.66 / $48.98
| Professional | | $39.81 | $42.66 | $48.98 |