- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.10 / $169.82 / $467.74
| Facility | | $63.10 | $169.82 | $467.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.23 / $74.13 / $114.82
| Professional | | $56.23 | $74.13 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $50.12 / $72.44
| Professional | | $5.01 | $50.12 | $72.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.11 / $91.20 / $91.20
| Facility | | $85.11 | $91.20 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $190.55 / $524.81
| Facility | | $89.13 | $190.55 | $524.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $61.66 / $154.88
| Professional | | $47.86 | $61.66 | $154.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $436.52 / $436.52
| Facility | | $436.52 | $436.52 | $436.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.18 / $93.33 / $169.82
| Facility | | $69.18 | $93.33 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.70 / $81.28 / $114.82
| Professional | | $53.70 | $81.28 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.61 / $75.86 / $75.86
| Professional | | $67.61 | $75.86 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.18 / $97.72 / $263.03
| Facility | | $69.18 | $97.72 | $263.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $63.10 / $154.88
| Professional | | $51.29 | $63.10 | $154.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $54.95 / $91.20
| Facility | | $33.11 | $54.95 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $53.70 / $77.62
| Professional | | $38.02 | $53.70 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $35.48 / $91.20
| Professional | | $35.48 | $35.48 | $91.20 |