- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.12 / $24.17 / $31.73
| Facility | | $18.12 | $24.17 | $31.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.89 / $28.78 / $37.64
| Professional | | $21.89 | $28.78 | $37.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.91 / $29.01 / $87.17
| Facility | | $17.91 | $29.01 | $87.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.48 / $25.60 / $39.21
| Professional | | $18.48 | $25.60 | $39.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.88 / $22.36 / $32.35
| Facility | | $20.88 | $22.36 | $32.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.70 / $33.96 / $62.25
| Professional | | $23.70 | $33.96 | $62.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.50 / $116.23 / $116.23
| Facility | | $107.50 | $116.23 | $116.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $150.27 / $192.15 / $265.73
| Professional | | $150.27 | $192.15 | $265.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.77 / $28.88 / $38.59
| Facility | | $21.77 | $28.88 | $38.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.42 / $36.09 / $56.48
| Professional | | $26.42 | $36.09 | $56.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.20 / $81.20 / $81.20
| Professional | | $81.20 | $81.20 | $81.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.75 / $28.78 / $38.52
| Facility | | $21.75 | $28.78 | $38.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.21 / $36.61 / $73.38
| Professional | | $24.21 | $36.61 | $73.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.90 / $34.61 / $55.39
| Professional | | $24.90 | $34.61 | $55.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.78 / $31.43 / $42.74
| Professional | | $26.78 | $31.43 | $42.74 |