- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $151.36 / $331.13
| Facility | | $26.92 | $151.36 | $331.13 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $125.89 / $218.78 / $218.78
| Facility | 50 | $125.89 | $218.78 | $218.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $74.13 / $151.36
| Professional | | $25.12 | $74.13 | $151.36 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $42.66 / $138.04 / $239.88
| Professional | 50 | $42.66 | $138.04 | $239.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $562.34 / $1,174.90
| Facility | | $245.47 | $562.34 | $1,174.90 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $371.54 / $660.69 / $1,698.24
| Facility | 50 | $371.54 | $660.69 | $1,698.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $112.20 / $281.84
| Professional | | $45.71 | $112.20 | $281.84 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $67.61 / $158.49 / $398.11
| Professional | 50 | $67.61 | $158.49 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $338.84 / $812.83
| Facility | | $234.42 | $338.84 | $812.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.88 / $134.90 / $380.19
| Professional | | $58.88 | $134.90 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $323.59 / $630.96
| Facility | | $257.04 | $323.59 | $630.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.88 / $151.36 / $316.23
| Professional | | $58.88 | $151.36 | $316.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $144.54 / $501.19
| Facility | | $31.62 | $144.54 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $199.53 / $446.68 / $1,047.13
| Facility | 50 | $199.53 | $446.68 | $1,047.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.28 / $154.88 / $436.52
| Professional | | $81.28 | $154.88 | $436.52 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $426.58 / $446.68 / $457.09
| Professional | 50 | $426.58 | $446.68 | $457.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.38 / $1,819.70 / $3,467.37
| Facility | | $407.38 | $1,819.70 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $89.13 / $257.04
| Professional | | $24.55 | $89.13 | $257.04 |