- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.42 / $266.72 / $577.41
| Facility | | $37.42 | $266.72 | $577.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.53 / $42.59 / $86.33
| Professional | | $34.53 | $42.59 | $86.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.20 / $355.54 / $559.45
| Facility | | $61.20 | $355.54 | $559.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.44 / $84.81 / $262.94
| Professional | | $31.44 | $84.81 | $262.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.13 / $188.94 / $244.91
| Facility | | $158.13 | $188.94 | $244.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.27 / $95.47 / $249.21
| Professional | | $31.27 | $95.47 | $249.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $83.43 / $83.43
| Facility | | $83.43 | $83.43 | $83.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.40 / $192.82 / $259.89
| Professional | | $102.40 | $192.82 | $259.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $238.12 / $266.49 / $613.98
| Facility | | $238.12 | $266.49 | $613.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $283.92 / $283.92 / $294.14
| Professional | | $283.92 | $283.92 | $294.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.34 / $432.96 / $432.96
| Facility | | $173.34 | $432.96 | $432.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.43 / $88.75 / $568.98
| Professional | | $38.43 | $88.75 | $568.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.82 / $273.81 / $508.64
| Facility | | $19.82 | $273.81 | $508.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.35 / $85.22 / $120.74
| Professional | | $33.35 | $85.22 | $120.74 |