- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.18 / $42.08 / $62.01
| Professional | | $23.18 | $42.08 | $62.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.49 / $51.67 / $77.04
| Professional | | $47.49 | $51.67 | $77.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.29 / $47.23 / $62.99
| Facility | | $6.29 | $47.23 | $62.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.29 / $47.23 / $62.99
| Professional | | $6.29 | $47.23 | $62.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.49 / $42.49 / $55.77
| Facility | | $42.49 | $42.49 | $55.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.11 / $42.49 / $55.77
| Professional | | $36.11 | $42.49 | $55.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $319.00 / $332.00 / $332.00
| Facility | | $319.00 | $332.00 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.93 / $39.08 / $54.47
| Professional | | $34.93 | $39.08 | $54.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.29 / $48.02 / $51.02
| Professional | | $36.29 | $48.02 | $51.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.68 / $48.68 / $48.68
| Professional | | $48.68 | $48.68 | $48.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.49 / $42.49 / $55.77
| Facility | | $42.49 | $42.49 | $55.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.46 / $42.49 / $55.77
| Professional | | $5.46 | $42.49 | $55.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.53 / $37.65 / $58.75
| Professional | | $21.53 | $37.65 | $58.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.02 / $48.02 / $48.02
| Facility | | $48.02 | $48.02 | $48.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.29 / $48.02 / $51.02
| Professional | | $36.29 | $48.02 | $51.02 |