- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.11 / $29.65 / $30.16
| Facility | | $28.11 | $29.65 | $30.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.04 / $28.11 / $41.81
| Professional | | $20.04 | $28.11 | $41.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.34 / $52.17 / $52.17
| Professional | | $44.34 | $52.17 | $52.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.57 / $35.79 / $154.13
| Professional | | $32.57 | $35.79 | $154.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $152.90 / $174.71
| Facility | | $85.00 | $152.90 | $174.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $225.06 / $225.06 / $225.06
| Professional | | $225.06 | $225.06 | $225.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.65 / $28.67 / $54.35
| Facility | | $21.65 | $28.67 | $54.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.23 / $20.23 / $24.14
| Professional | | $20.23 | $20.23 | $24.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.54 / $50.54 / $50.54
| Professional | | $50.54 | $50.54 | $50.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.78 / $28.67 / $59.59
| Facility | | $20.78 | $28.67 | $59.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.58 / $13.00 / $20.23
| Professional | | $9.58 | $13.00 | $20.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.39 / $18.84 / $19.85
| Facility | | $18.39 | $18.84 | $19.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.73 / $24.82 / $39.10
| Professional | | $17.73 | $24.82 | $39.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.29 / $24.14 / $34.68
| Professional | | $11.29 | $24.14 | $34.68 |