- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.82 / $167.23 / $257.24
| Facility | | $49.82 | $167.23 | $257.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.76 / $44.78 / $52.28
| Professional | | $30.76 | $44.78 | $52.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.25 / $224.97 / $8,639.91
| Facility | | $173.25 | $224.97 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.97 / $47.97 / $47.97
| Professional | | $47.97 | $47.97 | $47.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.97 / $79.91 / $179.91
| Facility | | $39.97 | $79.91 | $179.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.59 / $60.09 / $90.33
| Professional | | $21.59 | $60.09 | $90.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.29 / $36.29 / $83.27
| Professional | | $28.29 | $36.29 | $83.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.40 / $123.47 / $142.88
| Facility | | $109.40 | $123.47 | $142.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.28 / $156.84 / $257.24
| Facility | | $52.28 | $156.84 | $257.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.76 / $47.97 / $254.00
| Professional | | $30.76 | $47.97 | $254.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.97 / $79.95 / $204.28
| Facility | | $39.97 | $79.95 | $204.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.59 / $60.09 / $88.28
| Professional | | $21.59 | $60.09 | $88.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.50 / $61.50 / $61.50
| Facility | | $61.50 | $61.50 | $61.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.90 / $61.50 / $61.50
| Professional | | $48.90 | $61.50 | $61.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.57 / $36.90 / $92.25
| Professional | | $22.57 | $36.90 | $92.25 |