- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.91 / $35.36 / $49.54
| Facility | | $26.91 | $35.36 | $49.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $32.22 / $49.54
| Professional | | $23.44 | $32.22 | $49.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.33 / $18.18 / $68.14
| Professional | | $14.33 | $18.18 | $68.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.25 / $36.83 / $36.83
| Facility | | $34.25 | $36.83 | $36.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.83 / $36.83 / $36.83
| Professional | | $36.83 | $36.83 | $36.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.44 / $51.44 / $51.44
| Facility | | $51.44 | $51.44 | $51.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.91 / $17.91 / $17.91
| Professional | | $17.91 | $17.91 | $17.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.90 / $80.34 / $332.00
| Facility | | $43.90 | $80.34 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.10 / $59.44 / $95.26
| Professional | | $46.10 | $59.44 | $95.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.90 / $37.90 / $37.90
| Facility | | $37.90 | $37.90 | $37.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.83 / $40.27 / $40.27
| Professional | | $36.83 | $40.27 | $40.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.44 / $51.44 / $597.00
| Facility | | $51.44 | $51.44 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.91 / $17.91 / $75.19
| Professional | | $17.91 | $17.91 | $75.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.60 / $26.34 / $48.47
| Professional | | $14.60 | $26.34 | $48.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.90 / $37.90 / $37.90
| Facility | | $37.90 | $37.90 | $37.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.90 / $37.90 / $40.27
| Professional | | $37.90 | $37.90 | $40.27 |