- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.95 / $88.73 / $100.23
| Facility | | $82.95 | $88.73 | $100.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.72 / $85.65 / $101.62
| Professional | | $70.72 | $85.65 | $101.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.20 / $107.23 / $170.06
| Professional | | $102.20 | $107.23 | $170.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.16 / $150.16 / $150.16
| Facility | | $150.16 | $150.16 | $150.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.55 / $110.56 / $193.47
| Professional | | $78.55 | $110.56 | $193.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $99.45 / $141.53 / $211.81
| Professional | | $99.45 | $141.53 | $211.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.89 / $80.16 / $82.96
| Professional | | $70.89 | $80.16 | $82.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.95 / $88.73 / $100.23
| Facility | | $82.95 | $88.73 | $100.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.69 / $89.05 / $118.35
| Professional | | $71.69 | $89.05 | $118.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $116.69 / $116.69 / $116.69
| Professional | | $116.69 | $116.69 | $116.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.22 / $108.50 / $151.91
| Professional | | $80.22 | $108.50 | $151.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.70 / $150.16 / $150.16
| Facility | | $89.70 | $150.16 | $150.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.76 / $112.10 / $205.37
| Professional | | $79.76 | $112.10 | $205.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.81 / $86.90 / $92.92
| Facility | | $82.81 | $86.90 | $92.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.81 / $90.73 / $95.95
| Professional | | $82.81 | $90.73 | $95.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.80 / $106.09 / $181.70
| Professional | | $80.80 | $106.09 | $181.70 |