- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.95 / $72.90 / $136.76
| Professional | | $47.95 | $72.90 | $136.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.74 / $75.87 / $170.35
| Professional | | $59.74 | $75.87 | $170.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.84 / $67.84 / $106.03
| Professional | | $67.84 | $67.84 | $106.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.28 / $94.31 / $231.75
| Professional | | $54.28 | $94.31 | $231.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $88.07 / $123.89 / $182.25
| Professional | | $88.07 | $123.89 | $182.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.81 / $95.31 / $168.13
| Professional | | $64.81 | $95.31 | $168.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.83 / $99.29 / $235.41
| Professional | | $58.83 | $99.29 | $235.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.65 / $94.79 / $239.18
| Professional | | $67.65 | $94.79 | $239.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.08 / $99.12 / $168.13
| Professional | | $66.08 | $99.12 | $168.13 |