- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.28 / $144.28 / $199.99
| Facility | | $144.28 | $144.28 | $199.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.17 / $103.87 / $147.74
| Professional | | $82.17 | $103.87 | $147.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $103.83 / $129.68 / $191.56
| Professional | | $103.83 | $129.68 | $191.56 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $155.74 / $181.21 / $287.33
| Professional | 50 | $155.74 | $181.21 | $287.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $122.66 / $179.11 / $284.13
| Professional | | $122.66 | $179.11 | $284.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $132.32 / $180.96 / $321.19
| Professional | | $132.32 | $180.96 | $321.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.28 / $144.28 / $199.99
| Facility | | $144.28 | $144.28 | $199.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.17 / $111.74 / $199.99
| Professional | | $82.17 | $111.74 | $199.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.14 / $160.02 / $290.25
| Professional | | $105.14 | $160.02 | $290.25 |