- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $46.77 / $66.07
| Professional | | $33.11 | $46.77 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.79 / $70.79 / $70.79
| Professional | | $70.79 | $70.79 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $38.02 / $42.66
| Facility | | $38.02 | $38.02 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $38.90 / $75.86
| Professional | | $30.90 | $38.90 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $67.61 / $69.18
| Facility | | $50.12 | $67.61 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.98 / $67.61 / $112.20
| Professional | | $48.98 | $67.61 | $112.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $363.08 / $363.08
| Facility | | $363.08 | $363.08 | $363.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $446.68 / $588.84 / $588.84
| Professional | | $446.68 | $588.84 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $60.26 / $83.18
| Facility | | $43.65 | $60.26 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $50.12 / $83.18
| Professional | | $32.36 | $50.12 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $57.54
| Professional | | $32.36 | $33.11 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $58.88 / $83.18
| Facility | | $40.74 | $58.88 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.98 / $72.44 / $102.33
| Professional | | $48.98 | $72.44 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $58.88 / $95.50
| Professional | | $43.65 | $58.88 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.79 / $70.79 / $74.13
| Professional | | $70.79 | $70.79 | $74.13 |