- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.69 / $19.69 / $80.56
| Facility | | $19.69 | $19.69 | $80.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.97 / $65.04 / $97.64
| Professional | | $17.97 | $65.04 | $97.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.45 / $82.09 / $233.29
| Professional | | $26.45 | $82.09 | $233.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $368.09 / $368.09 / $446.71
| Facility | | $368.09 | $368.09 | $446.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.26 / $61.89 / $197.75
| Professional | | $18.26 | $61.89 | $197.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.69 / $71.15 / $201.43
| Facility | | $19.69 | $71.15 | $201.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.62 / $67.05 / $181.47
| Facility | | $19.62 | $67.05 | $181.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.09 / $104.66 / $553.58
| Professional | | $60.09 | $104.66 | $553.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.42 / $61.91 / $135.59
| Professional | | $39.42 | $61.91 | $135.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.69 / $68.48 / $181.47
| Facility | | $19.69 | $68.48 | $181.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.77 / $92.08 / $257.69
| Professional | | $34.77 | $92.08 | $257.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.74 / $318.27 / $553.58
| Professional | | $39.74 | $318.27 | $553.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.68 / $25.68 / $105.02
| Professional | | $25.68 | $25.68 | $105.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.68 / $139.18 / $305.47
| Professional | | $49.68 | $139.18 | $305.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.97 / $103.45 / $197.03
| Professional | | $68.97 | $103.45 | $197.03 |