- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $67.61 / $208.93
| Professional | | $41.69 | $67.61 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $89.13 / $234.42
| Professional | | $52.48 | $89.13 | $234.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.50 / $151.36 / $251.19
| Professional | | $95.50 | $151.36 | $251.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.10 / $112.20 / $223.87
| Professional | | $63.10 | $112.20 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $81.28 / $128.82
| Professional | | $45.71 | $81.28 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $91.20 / $190.55
| Professional | | $52.48 | $91.20 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $89.13 / $229.09
| Professional | | $52.48 | $89.13 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.88 / $95.50 / $199.53
| Professional | | $58.88 | $95.50 | $199.53 |