- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.90 / $37.51 / $49.36
| Professional | | $27.90 | $37.51 | $49.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.93 / $43.79 / $87.29
| Professional | | $34.93 | $43.79 | $87.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.26 / $68.26 / $68.26
| Facility | | $68.26 | $68.26 | $68.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.26 / $68.26 / $68.26
| Professional | | $68.26 | $68.26 | $68.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.82 / $52.82 / $95.48
| Facility | | $52.82 | $52.82 | $95.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.09 / $60.01 / $207.36
| Professional | | $50.09 | $60.01 | $207.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.61 / $26.61 / $105.49
| Facility | | $26.61 | $26.61 | $105.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.84 / $55.62 / $85.62
| Professional | | $30.84 | $55.62 | $85.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.36 / $38.36 / $38.36
| Facility | | $38.36 | $38.36 | $38.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.36 / $38.79 / $73.45
| Professional | | $38.36 | $38.79 | $73.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.82 / $555.00 / $597.00
| Facility | | $52.82 | $555.00 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.09 / $60.01 / $207.36
| Professional | | $50.09 | $60.01 | $207.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.52 / $50.62 / $103.55
| Professional | | $34.52 | $50.62 | $103.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.36 / $38.36 / $38.36
| Facility | | $38.36 | $38.36 | $38.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.36 / $38.36 / $73.45
| Professional | | $38.36 | $38.36 | $73.45 |