- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.64 / $79.69 / $284.38
| Facility | | $47.64 | $79.69 | $284.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.75 / $52.78 / $147.19
| Professional | | $42.75 | $52.78 | $147.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.62 / $45.62 / $53.53
| Professional | | $45.62 | $45.62 | $53.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.23 / $47.23 / $47.23
| Facility | | $47.23 | $47.23 | $47.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.10 / $101.86 / $145.60
| Facility | | $50.10 | $101.86 | $145.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.03 / $45.44 / $53.44
| Professional | | $44.03 | $45.44 | $53.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.12 / $47.64 / $53.53
| Facility | | $27.12 | $47.64 | $53.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.12 / $47.64 / $53.53
| Facility | | $27.12 | $47.64 | $53.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.73 / $50.54 / $71.56
| Professional | | $44.73 | $50.54 | $71.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.00 / $65.00 / $96.05
| Professional | | $55.00 | $65.00 | $96.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.12 / $47.64 / $53.53
| Facility | | $27.12 | $47.64 | $53.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.31 / $57.82 / $80.30
| Professional | | $37.31 | $57.82 | $80.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $191.33 / $191.33 / $191.33
| Facility | | $191.33 | $191.33 | $191.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.10 / $50.10 / $50.10
| Professional | | $50.10 | $50.10 | $50.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.24 / $43.24 / $43.24
| Professional | | $43.24 | $43.24 | $43.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.73 / $50.54 / $73.36
| Professional | | $44.73 | $50.54 | $73.36 |