- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.58 / $75.50 / $179.37
| Facility | | $39.58 | $75.50 | $179.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.04 / $32.57 / $35.60
| Professional | | $20.04 | $32.57 | $35.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.22 / $92.45 / $159.08
| Facility | | $36.22 | $92.45 | $159.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.81 / $60.80 / $76.87
| Facility | | $50.81 | $60.80 | $76.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.11 / $79.39 / $169.38
| Facility | | $14.11 | $79.39 | $169.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $4.93 / $35.83
| Professional | | $4.59 | $4.93 | $35.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.43 / $43.43 / $66.01
| Professional | | $43.43 | $43.43 | $66.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.43 / $43.43 / $43.43
| Professional | | $43.43 | $43.43 | $43.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.76 / $28.23 / $85.04
| Professional | | $19.76 | $28.23 | $85.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.06 / $26.06 / $36.92
| Professional | | $26.06 | $26.06 | $36.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.76 / $73.40 / $130.28
| Facility | | $38.76 | $73.40 | $130.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.86 / $52.97 / $63.47
| Professional | | $52.86 | $52.97 | $63.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.09 / $39.09 / $39.09
| Facility | | $39.09 | $39.09 | $39.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.23 / $26.06 / $60.80
| Professional | | $18.23 | $26.06 | $60.80 |