- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.28 / $61.43 / $216.50
| Facility | | $37.28 | $61.43 | $216.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.85 / $46.27 / $78.36
| Professional | | $31.85 | $46.27 | $78.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.74 / $73.48 / $206.56
| Professional | | $36.74 | $73.48 | $206.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $155.88 / $182.17 / $279.45
| Facility | | $155.88 | $182.17 | $279.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.32 / $99.20 / $166.59
| Professional | | $49.32 | $99.20 | $166.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.90 / $55.92 / $92.15
| Facility | | $34.90 | $55.92 | $92.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.65 / $55.03 / $92.27
| Facility | | $34.65 | $55.03 | $92.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.93 / $125.43 / $514.16
| Professional | | $54.93 | $125.43 | $514.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.03 / $67.18 / $139.02
| Professional | | $41.03 | $67.18 | $139.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.90 / $55.92 / $92.27
| Facility | | $34.90 | $55.92 | $92.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.50 / $116.77 / $184.36
| Professional | | $71.50 | $116.77 | $184.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $358.41 / $358.41 / $358.41
| Facility | | $358.41 | $358.41 | $358.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.96 / $248.09 / $514.16
| Professional | | $63.96 | $248.09 | $514.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $88.81 / $176.36 / $296.10
| Professional | | $88.81 | $176.36 | $296.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.10 / $118.50 / $207.91
| Professional | | $58.10 | $118.50 | $207.91 |