- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.47 / $112.33 / $182.94
| Facility | | $52.47 | $112.33 | $182.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.97 / $34.97 / $54.56
| Professional | | $34.97 | $34.97 | $54.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $6.91 / $64.98
| Professional | | $6.91 | $6.91 | $64.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.19 / $64.19 / $64.19
| Facility | | $64.19 | $64.19 | $64.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.86 / $64.19 / $64.19
| Professional | | $46.86 | $64.19 | $64.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.85 / $130.02 / $166.60
| Facility | | $44.85 | $130.02 | $166.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.51 / $91.89 / $309.39
| Professional | | $73.51 | $91.89 | $309.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.19 / $134.80 / $332.00
| Facility | | $64.19 | $134.80 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.68 / $37.86 / $120.04
| Professional | | $25.68 | $37.86 | $120.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.20 / $60.98 / $72.63
| Professional | | $40.20 | $60.98 | $72.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.58 / $156.65 / $223.70
| Facility | | $62.58 | $156.65 | $223.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.72 / $48.14 / $132.22
| Professional | | $41.72 | $48.14 | $132.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.96 / $32.10 / $94.28
| Professional | | $26.96 | $32.10 | $94.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.19 / $73.81 / $73.81
| Facility | | $64.19 | $73.81 | $73.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.20 / $64.19 / $77.15
| Professional | | $40.20 | $64.19 | $77.15 |