- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.95 / $105.37 / $148.69
| Facility | | $71.95 | $105.37 | $148.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.55 / $102.88 / $266.29
| Professional | | $53.55 | $102.88 | $266.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.32 / $325.80 / $325.80
| Facility | | $62.32 | $325.80 | $325.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.69 / $172.99 / $618.82
| Professional | | $79.69 | $172.99 | $618.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $96.57 / $139.88 / $209.23
| Professional | | $96.57 | $139.88 | $209.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.85 / $88.85 / $88.85
| Facility | | $88.85 | $88.85 | $88.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.95 / $128.91 / $215.98
| Professional | | $73.95 | $128.91 | $215.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.70 / $66.70 / $85.02
| Facility | | $66.70 | $66.70 | $85.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $121.68 / $133.76 / $157.36
| Professional | | $121.68 | $133.76 | $157.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.36 / $180.05 / $267.33
| Professional | | $102.36 | $180.05 | $267.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $121.44 / $169.29 / $313.49
| Professional | | $121.44 | $169.29 | $313.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $325.80 / $325.80 / $325.80
| Facility | | $325.80 | $325.80 | $325.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.36 / $201.02 / $618.82
| Professional | | $93.36 | $201.02 | $618.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.92 / $52.61 / $81.97
| Facility | | $41.92 | $52.61 | $81.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.92 / $85.65 / $180.54
| Professional | | $51.92 | $85.65 | $180.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.57 / $135.94 / $256.08
| Professional | | $86.57 | $135.94 | $256.08 |