- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.05 / $48.50 / $70.77
| Facility | | $24.05 | $48.50 | $70.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.24 / $40.49 / $59.65
| Professional | | $21.24 | $40.49 | $59.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113.24 / $113.24 / $113.24
| Facility | | $113.24 | $113.24 | $113.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.13 / $64.02 / $278.14
| Professional | | $39.13 | $64.02 | $278.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.87 / $34.10 / $36.57
| Facility | | $26.87 | $34.10 | $36.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.87 / $51.83 / $95.03
| Professional | | $26.87 | $51.83 | $95.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.00 / $48.00 / $91.75
| Professional | | $34.00 | $48.00 | $91.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.27 / $50.30 / $67.67
| Facility | | $50.27 | $50.30 | $67.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.42 / $50.27 / $58.07
| Professional | | $46.42 | $50.27 | $58.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.67 / $58.32 / $113.43
| Professional | | $28.67 | $58.32 | $113.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.06 / $62.06 / $69.66
| Facility | | $62.06 | $62.06 | $69.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.84 / $62.06 / $299.83
| Professional | | $55.84 | $62.06 | $299.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113.24 / $113.24 / $113.24
| Facility | | $113.24 | $113.24 | $113.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.97 / $77.70 / $278.14
| Professional | | $46.97 | $77.70 | $278.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.84 / $60.22 / $161.94
| Professional | | $44.84 | $60.22 | $161.94 |