- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.32 / $69.28 / $79.80
| Facility | | $18.32 | $69.28 | $79.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.16 / $49.03 / $81.84
| Professional | | $17.16 | $49.03 | $81.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.51 / $85.74 / $85.74
| Facility | | $14.51 | $85.74 | $85.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.14 / $112.03 / $268.62
| Professional | | $40.14 | $112.03 | $268.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.10 / $180.96 / $223.57
| Facility | | $20.10 | $180.96 | $223.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.89 / $110.41 / $114.98
| Facility | | $28.89 | $110.41 | $114.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.50 / $76.97 / $178.50
| Professional | | $24.50 | $76.97 | $178.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.68 / $17.68 / $22.53
| Facility | | $17.68 | $17.68 | $22.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.20 / $83.89 / $142.61
| Professional | | $45.20 | $83.89 | $142.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.07 / $61.77 / $210.98
| Professional | | $30.07 | $61.77 | $210.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94.13 / $217.26 / $545.62
| Facility | | $94.13 | $217.26 | $545.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.74 / $85.74 / $85.74
| Facility | | $85.74 | $85.74 | $85.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.81 / $115.39 / $410.48
| Professional | | $75.81 | $115.39 | $410.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.76 / $108.08 / $206.86
| Professional | | $71.76 | $108.08 | $206.86 |