- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.92 / $87.51 / $181.47
| Professional | | $46.92 | $87.51 | $181.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.44 / $79.01 / $207.55
| Professional | | $60.44 | $79.01 | $207.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.95 / $67.95 / $129.54
| Professional | | $67.95 | $67.95 | $129.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.76 / $113.26 / $291.33
| Professional | | $50.76 | $113.26 | $291.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $96.64 / $124.40 / $186.16
| Professional | | $96.64 | $124.40 | $186.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.38 / $85.79 / $172.63
| Professional | | $68.38 | $85.79 | $172.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.98 / $119.96 / $296.02
| Professional | | $59.98 | $119.96 | $296.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.02 / $99.93 / $239.99
| Professional | | $71.02 | $99.93 | $239.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.38 / $115.68 / $186.68
| Professional | | $68.38 | $115.68 | $186.68 |