- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.87 / $18.89 / $19.57
| Facility | | $17.87 | $18.89 | $19.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.50 / $19.25 / $27.73
| Professional | | $16.50 | $19.25 | $27.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.00 / $20.00 / $20.00
| Professional | | $20.00 | $20.00 | $20.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.65 / $37.22 / $51.99
| Professional | | $34.65 | $37.22 | $51.99 |
- 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
- $30.29 / $30.29 / $30.29
| Facility | | $30.29 | $30.29 | $30.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.11 / $22.11 / $30.29
| Professional | | $22.11 | $22.11 | $30.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $184.09 / $190.81 / $190.81
| Facility | | $184.09 | $190.81 | $190.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $243.82 / $253.57 / $294.14
| Professional | | $243.82 | $253.57 | $294.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.23 / $31.79 / $57.91
| Facility | | $17.23 | $31.79 | $57.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.87 / $17.23 / $31.79
| Professional | | $14.87 | $17.23 | $31.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.67 / $51.05 / $57.04
| Professional | | $48.67 | $51.05 | $57.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.23 / $30.29 / $55.55
| Facility | | $17.23 | $30.29 | $55.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.11 / $22.11 / $30.29
| Professional | | $22.11 | $22.11 | $30.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.77 / $22.34 / $41.90
| Professional | | $18.77 | $22.34 | $41.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.63 / $50.26 / $53.37
| Professional | | $44.63 | $50.26 | $53.37 |