- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.71 / $87.10 / $158.49
| Facility | | $45.71 | $87.10 | $158.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.90 / $64.57 / $109.65
| Professional | | $38.90 | $64.57 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.77 / $95.50 / $234.42
| Professional | | $46.77 | $95.50 | $234.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $288.40 / $426.58
| Facility | | $218.78 | $288.40 | $426.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.57 / $141.25 / $275.42
| Professional | | $64.57 | $141.25 | $275.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $72.44 / $109.65
| Facility | | $39.81 | $72.44 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.07 / $112.20 / $204.17
| Professional | | $66.07 | $112.20 | $204.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $72.44 / $109.65
| Facility | | $39.81 | $72.44 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.13 / $218.78 / $512.86
| Professional | | $89.13 | $218.78 | $512.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $70.79
| Professional | | $32.36 | $33.11 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.98 / $104.71 / $194.98
| Professional | | $48.98 | $104.71 | $194.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.72 / $97.72 / $269.15
| Facility | | $97.72 | $97.72 | $269.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $389.05 / $512.86
| Professional | | $54.95 | $389.05 | $512.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.18 / $218.78 / $416.87
| Professional | | $69.18 | $218.78 | $416.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $102.33 / $245.47
| Professional | | $51.29 | $102.33 | $245.47 |