- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $32.36 / $50.12
| Professional | | $26.92 | $32.36 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $48.98 / $52.48
| Professional | | $43.65 | $48.98 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $39.81 / $85.11
| Professional | | $27.54 | $39.81 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.67 / $34.67 / $34.67
| Professional | | $34.67 | $34.67 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.13 / $74.13 / $74.13
| Facility | | $74.13 | $74.13 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $53.70 / $89.13
| Professional | | $28.18 | $53.70 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $66.07 / $83.18
| Professional | | $57.54 | $66.07 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.98 / $48.98 / $48.98
| Facility | | $48.98 | $48.98 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $48.98 / $66.07
| Professional | | $35.48 | $48.98 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $44.67 / $45.71
| Professional | | $43.65 | $44.67 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.77 / $60.26 / $74.13
| Professional | | $46.77 | $60.26 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $32.36 / $39.81
| Professional | | $30.90 | $32.36 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $45.71 / $75.86
| Professional | | $32.36 | $45.71 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.98 / $48.98 / $48.98
| Facility | | $48.98 | $48.98 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $50.12 / $66.07
| Professional | | $35.48 | $50.12 | $66.07 |