- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.81 / $32.57 / $56.43
| Facility | | $27.81 | $32.57 | $56.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.71 / $29.15 / $50.63
| Professional | | $25.71 | $29.15 | $50.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.62 / $28.35 / $55.18
| Professional | | $23.62 | $28.35 | $55.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.87 / $42.87 / $42.87
| Facility | | $42.87 | $42.87 | $42.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.87 / $42.87 / $42.87
| Professional | | $42.87 | $42.87 | $42.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.79 / $122.45 / $168.93
| Facility | | $35.79 | $122.45 | $168.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.74 / $115.91 / $149.66
| Professional | | $36.74 | $115.91 | $149.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.00 / $48.51 / $332.00
| Facility | | $13.00 | $48.51 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.05 / $38.19 / $64.86
| Professional | | $20.05 | $38.19 | $64.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.58 / $7.58 / $29.40
| Facility | | $7.58 | $7.58 | $29.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.10 / $39.39 / $66.70
| Professional | | $9.10 | $39.39 | $66.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.79 / $162.28 / $597.00
| Facility | | $35.79 | $162.28 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.66 / $42.01 / $76.67
| Professional | | $31.66 | $42.01 | $76.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.94 / $34.14 / $67.65
| Professional | | $24.94 | $34.14 | $67.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.40 / $39.03 / $78.84
| Facility | | $29.40 | $39.03 | $78.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.72 / $39.39 / $79.94
| Professional | | $25.72 | $39.39 | $79.94 |