- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.45 / $43.84 / $57.56
| Professional | | $35.45 | $43.84 | $57.56 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $17.68 / $22.17 / $30.83
| Professional | 52 | $17.68 | $22.17 | $30.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.65 / $46.21 / $116.40
| Facility | | $34.65 | $46.21 | $116.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.97 / $35.71 / $55.47
| Professional | | $25.97 | $35.71 | $55.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.29 / $38.81 / $62.77
| Facility | | $27.29 | $38.81 | $62.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.91 / $46.79 / $84.89
| Professional | | $30.91 | $46.79 | $84.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $146.86 / $160.60 / $160.60
| Facility | | $146.86 | $160.60 | $160.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $195.21 / $334.05 / $334.05
| Professional | | $195.21 | $334.05 | $334.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.65 / $41.05 / $66.59
| Facility | | $31.65 | $41.05 | $66.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.81 / $48.01 / $61.58
| Professional | | $36.81 | $48.01 | $61.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.30 / $52.30 / $52.30
| Professional | | $52.30 | $52.30 | $52.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.65 / $41.05 / $66.03
| Facility | | $31.65 | $41.05 | $66.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.85 / $50.69 / $86.80
| Professional | | $31.85 | $50.69 | $86.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.28 / $46.78 / $65.52
| Professional | | $36.28 | $46.78 | $65.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.85 / $43.57 / $62.00
| Professional | | $32.85 | $43.57 | $62.00 |