- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.98 / $60.42 / $254.84
| Facility | | $18.98 | $60.42 | $254.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.92 / $32.57 / $54.72
| Professional | | $17.92 | $32.57 | $54.72 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $107.01 / $107.01 / $107.01
| Professional | 50 | $107.01 | $107.01 | $107.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.99 / $41.99 / $42.60
| Facility | | $41.99 | $41.99 | $42.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.04 / $65.31 / $125.45
| Professional | | $34.04 | $65.31 | $125.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $606.10 / $606.10
| Facility | | $606.10 | $606.10 | $606.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.41 / $48.05 / $83.09
| Professional | | $25.41 | $48.05 | $83.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.28 / $48.91 / $89.00
| Facility | | $18.28 | $48.91 | $89.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.00 / $35.00 / $62.30
| Professional | | $35.00 | $35.00 | $62.30 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $93.45 / $93.45 / $93.45
| Professional | 50 | $93.45 | $93.45 | $93.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.32 / $35.26 / $51.93
| Professional | | $25.32 | $35.26 | $51.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.00 / $896.00 / $2,229.00
| Facility | | $117.00 | $896.00 | $2,229.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.97 / $49.47 / $84.29
| Professional | | $26.97 | $49.47 | $84.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $95.33 / $95.33
| Facility | | $55.00 | $95.33 | $95.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $156.16 / $288.70 / $326.25
| Professional | | $156.16 | $288.70 | $326.25 |