- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.78 / $48.35 / $65.84
| Facility | | $18.78 | $48.35 | $65.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.32 / $37.79 / $55.96
| Professional | | $16.32 | $37.79 | $55.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.69 / $85.69 / $85.69
| Facility | | $85.69 | $85.69 | $85.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.92 / $57.79 / $251.37
| Professional | | $33.92 | $57.79 | $251.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.49 / $49.39 / $58.72
| Facility | | $20.49 | $49.39 | $58.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.49 / $45.52 / $88.15
| Professional | | $20.49 | $45.52 | $88.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.00 / $45.00 / $81.84
| Professional | | $30.00 | $45.00 | $81.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.70 / $48.00 / $62.95
| Facility | | $45.70 | $48.00 | $62.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.09 / $48.00 / $54.74
| Professional | | $41.09 | $48.00 | $54.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.71 / $45.75 / $99.93
| Professional | | $21.71 | $45.75 | $99.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.52 / $287.39 / $287.39
| Facility | | $64.52 | $287.39 | $287.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $117.72 / $452.70 / $1,595.28
| Professional | | $117.72 | $452.70 | $1,595.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.69 / $85.69 / $85.69
| Facility | | $85.69 | $85.69 | $85.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.23 / $70.52 / $251.37
| Professional | | $43.23 | $70.52 | $251.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.28 / $56.80 / $154.34
| Professional | | $41.28 | $56.80 | $154.34 |