- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $75.86 / $79.43
| Facility | | $21.88 | $75.86 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $61.66 / $194.98
| Professional | | $21.88 | $61.66 | $194.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $58.88 / $478.63
| Facility | | $31.62 | $58.88 | $478.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $69.18 / $181.97
| Professional | | $25.70 | $69.18 | $181.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $58.88 / $81.28
| Facility | | $26.92 | $58.88 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $112.20 / $190.55
| Professional | | $41.69 | $112.20 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $75.86 / $158.49
| Professional | | $28.18 | $75.86 | $158.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $56.23 / $8,511.38
| Facility | | $25.70 | $56.23 | $8,511.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $72.44 / $128.82
| Professional | | $37.15 | $72.44 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $63.10 / $151.36
| Professional | | $25.70 | $63.10 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $102.33 / $102.33
| Facility | | $13.49 | $102.33 | $102.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $58.88 / $478.63
| Facility | | $31.62 | $58.88 | $478.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $69.18 / $181.97
| Professional | | $25.70 | $69.18 | $181.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.44 / $72.44 / $72.44
| Facility | | $72.44 | $72.44 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $72.44 / $151.36
| Professional | | $25.70 | $72.44 | $151.36 |