- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.71 / $44.05 / $56.21
| Facility | | $26.71 | $44.05 | $56.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.78 / $46.56 / $67.98
| Professional | | $32.78 | $46.56 | $67.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.61 / $50.47 / $79.56
| Professional | | $31.61 | $50.47 | $79.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.40 / $56.77 / $56.77
| Facility | | $32.40 | $56.77 | $56.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.01 / $37.74 / $84.60
| Facility | | $33.01 | $37.74 | $84.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.63 / $58.78 / $95.12
| Professional | | $37.63 | $58.78 | $95.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $176.56 / $358.41 / $379.22
| Facility | | $176.56 | $358.41 | $379.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $514.16 / $514.16 / $514.16
| Professional | | $514.16 | $514.16 | $514.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.86 / $52.02 / $76.94
| Facility | | $33.86 | $52.02 | $76.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.36 / $75.69 / $108.29
| Professional | | $45.36 | $75.69 | $108.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.47 / $60.34 / $86.16
| Professional | | $35.47 | $60.34 | $86.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.86 / $51.73 / $77.19
| Facility | | $33.86 | $51.73 | $77.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.70 / $66.56 / $121.54
| Professional | | $39.70 | $66.56 | $121.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.90 / $58.26 / $91.39
| Professional | | $41.90 | $58.26 | $91.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.69 / $57.98 / $78.53
| Professional | | $49.69 | $57.98 | $78.53 |