- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.12 / $68.33 / $80.75
| Facility | | $29.12 | $68.33 | $80.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.47 / $47.12 / $97.33
| Professional | | $30.47 | $47.12 | $97.33 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $37.33 / $91.58 / $136.00
| Professional | 25 | $37.33 | $91.58 | $136.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.77 / $62.95 / $79.23
| Professional | | $44.77 | $62.95 | $79.23 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $44.77 / $57.54 / $79.23
| Professional | 25 | $44.77 | $57.54 | $79.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.41 / $63.72 / $104.74
| Professional | | $41.41 | $63.72 | $104.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.54 / $56.54 / $56.54
| Facility | | $56.54 | $56.54 | $56.54 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $5.48 / $5.48 / $5.48
| Facility | AS | $5.48 | $5.48 | $5.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.28 / $53.28 / $85.99
| Professional | | $39.28 | $53.28 | $85.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.04 / $238.31 / $238.31
| Facility | | $107.04 | $238.31 | $238.31 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $10.70 / $23.83 / $23.83
| Facility | AS | $10.70 | $23.83 | $23.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $350.74 / $368.28 / $368.28
| Professional | | $350.74 | $368.28 | $368.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.22 / $47.32 / $64.00
| Professional | | $40.22 | $47.32 | $64.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.85 / $43.87 / $75.84
| Professional | | $34.85 | $43.87 | $75.84 |