- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.20 / $136.10 / $572.63
| Facility | | $72.20 | $136.10 | $572.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.20 / $96.13 / $261.27
| Professional | | $72.20 | $96.13 | $261.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.63 / $56.63 / $56.63
| Professional | | $56.63 | $56.63 | $56.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.05 / $96.94 / $240.81
| Professional | | $76.05 | $96.94 | $240.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.01 / $61.01 / $68.16
| Facility | | $61.01 | $61.01 | $68.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.01 / $68.16 / $129.18
| Professional | | $61.01 | $68.16 | $129.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.68 / $423.60 / $555.39
| Facility | | $97.68 | $423.60 | $555.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.97 / $140.29 / $309.31
| Professional | | $75.97 | $140.29 | $309.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.49 / $61.17 / $332.00
| Facility | | $37.49 | $61.17 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.25 / $115.36 / $178.00
| Professional | | $87.25 | $115.36 | $178.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.41 / $41.41 / $41.41
| Facility | | $41.41 | $41.41 | $41.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.58 / $111.62 / $185.69
| Professional | | $71.58 | $111.62 | $185.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.92 / $103.04 / $103.32
| Professional | | $101.92 | $103.04 | $103.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.68 / $153.97 / $555.39
| Facility | | $97.68 | $153.97 | $555.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.07 / $129.47 / $282.30
| Professional | | $87.07 | $129.47 | $282.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.06 / $93.47 / $206.64
| Professional | | $72.06 | $93.47 | $206.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101.90 / $101.90 / $304.61
| Facility | | $101.90 | $101.90 | $304.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $88.42 / $117.75 / $235.72
| Professional | | $88.42 | $117.75 | $235.72 |