- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.68 / $55.95 / $141.29
| Facility | | $35.68 | $55.95 | $141.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.63 / $47.84 / $102.25
| Professional | | $23.63 | $47.84 | $102.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.31 / $59.04 / $133.77
| Professional | | $21.31 | $59.04 | $133.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.05 / $50.28 / $50.28
| Facility | | $21.05 | $50.28 | $50.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.62 / $50.28 / $82.27
| Professional | | $25.62 | $50.28 | $82.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.68 / $46.60 / $55.56
| Facility | | $38.68 | $46.60 | $55.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.54 / $44.08 / $111.51
| Professional | | $19.54 | $44.08 | $111.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.60 / $23.60 / $23.60
| Facility | | $23.60 | $23.60 | $23.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.04 / $51.89 / $103.53
| Professional | | $40.04 | $51.89 | $103.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.64 / $75.14 / $116.80
| Professional | | $46.64 | $75.14 | $116.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.97 / $66.56 / $68.43
| Professional | | $35.97 | $66.56 | $68.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.60 / $46.60 / $55.56
| Facility | | $46.60 | $46.60 | $55.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.30 / $48.97 / $117.06
| Professional | | $20.30 | $48.97 | $117.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.41 / $37.65 / $96.87
| Professional | | $27.41 | $37.65 | $96.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.86 / $75.14 / $116.80
| Professional | | $50.86 | $75.14 | $116.80 |