- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.57 / $50.09 / $65.84
| Professional | | $36.57 | $50.09 | $65.84 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $18.29 / $24.65 / $32.54
| Professional | 52 | $18.29 | $24.65 | $32.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.34 / $43.58 / $110.16
| Professional | | $34.34 | $43.58 | $110.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.08 / $25.08 / $50.03
| Facility | | $25.08 | $25.08 | $50.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.08 / $50.03 / $75.11
| Professional | | $25.08 | $50.03 | $75.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.11 / $53.11 / $53.11
| Facility | | $53.11 | $53.11 | $53.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.52 / $55.92 / $151.25
| Professional | | $32.52 | $55.92 | $151.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.20 / $25.20 / $25.20
| Facility | | $25.20 | $25.20 | $25.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.32 / $50.14 / $81.66
| Professional | | $43.32 | $50.14 | $81.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.92 / $46.92 / $71.39
| Professional | | $32.92 | $46.92 | $71.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.39 / $62.93 / $63.62
| Professional | | $62.39 | $62.93 | $63.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.11 / $53.11 / $53.11
| Facility | | $53.11 | $53.11 | $53.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.54 / $60.48 / $134.66
| Professional | | $36.54 | $60.48 | $134.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.08 / $46.77 / $113.59
| Professional | | $25.08 | $46.77 | $113.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.79 / $44.54 / $85.39
| Professional | | $36.79 | $44.54 | $85.39 |