- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $46.72 / $89.80
| Facility | | $28.18 | $46.72 | $89.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.44 / $55.09 / $67.56
| Professional | | $39.44 | $55.09 | $67.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $32.11 / $46.46
| Professional | | $20.42 | $32.11 | $46.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.28 / $21.28 / $21.28
| Facility | | $21.28 | $21.28 | $21.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.28 / $175.95 / $481.92
| Facility | | $72.28 | $175.95 | $481.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.22 / $76.09 / $216.85
| Professional | | $30.22 | $76.09 | $216.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.60 / $76.79 / $332.00
| Facility | | $31.60 | $76.79 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $49.03 / $85.95
| Professional | | $37.15 | $49.03 | $85.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.34 / $50.34 / $50.34
| Facility | | $50.34 | $50.34 | $50.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.04 / $57.89 / $150.05
| Professional | | $47.04 | $57.89 | $150.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.07 / $192.40 / $481.92
| Facility | | $43.07 | $192.40 | $481.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.32 / $48.22 / $183.85
| Professional | | $32.32 | $48.22 | $183.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.83 / $40.29 / $112.86
| Professional | | $27.83 | $40.29 | $112.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.53 / $79.56 / $79.56
| Facility | | $48.53 | $79.56 | $79.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.83 / $69.18 / $183.84
| Professional | | $47.83 | $69.18 | $183.84 |