- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.71 / $34.36 / $35.03
| Facility | | $33.71 | $34.36 | $35.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.72 / $35.03 / $56.84
| Professional | | $31.72 | $35.03 | $56.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.92 / $35.92 / $44.94
| Professional | | $35.92 | $35.92 | $44.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.48 / $75.48 / $75.48
| Facility | | $75.48 | $75.48 | $75.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.91 / $41.91 / $41.91
| Facility | | $41.91 | $41.91 | $41.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.59 / $30.59 / $30.59
| Professional | | $30.59 | $30.59 | $30.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $126.12 / $349.60 / $349.60
| Facility | | $126.12 | $349.60 | $349.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $378.23 / $378.23 / $549.53
| Professional | | $378.23 | $378.23 | $549.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.60 / $50.43 / $75.48
| Facility | | $21.60 | $50.43 | $75.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.60 / $65.41 / $75.48
| Professional | | $21.60 | $65.41 | $75.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.74 / $76.98 / $169.83
| Professional | | $57.74 | $76.98 | $169.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.60 / $45.36 / $75.48
| Facility | | $21.60 | $45.36 | $75.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.59 / $30.59 / $60.93
| Professional | | $30.59 | $30.59 | $60.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.02 / $76.02 / $89.43
| Facility | | $76.02 | $76.02 | $89.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.89 / $39.04 / $48.01
| Professional | | $27.89 | $39.04 | $48.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.27 / $40.18 / $75.48
| Professional | | $39.27 | $40.18 | $75.48 |