- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $107.15 / $316.23
| Facility | | $43.65 | $107.15 | $316.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $46.77 / $72.44
| Professional | | $36.31 | $46.77 | $72.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.13 / $194.98 / $346.74
| Facility | | $74.13 | $194.98 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $31.62 / $57.54
| Professional | | $5.01 | $31.62 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.54 / $57.54 / $60.26
| Facility | | $57.54 | $57.54 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.07 / $72.44 / $89.13
| Professional | | $66.07 | $72.44 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $537.03 / $537.03
| Facility | | $537.03 | $537.03 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $60.26 / $114.82
| Facility | | $43.65 | $60.26 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $52.48 / $74.13
| Professional | | $33.88 | $52.48 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $48.98 / $48.98
| Professional | | $43.65 | $48.98 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $57.54 / $75.86
| Facility | | $43.65 | $57.54 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $72.44 / $87.10
| Professional | | $52.48 | $72.44 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.89 / $34.67 / $57.54
| Facility | | $20.89 | $34.67 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $33.88 / $50.12
| Professional | | $24.55 | $33.88 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.39 / $22.39 / $57.54
| Professional | | $22.39 | $22.39 | $57.54 |