- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.21 / $28.25 / $41.43
| Facility | | $26.21 | $28.25 | $41.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $27.19 / $57.01
| Professional | | $20.89 | $27.19 | $57.01 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $45.92 / $59.06 / $66.00
| Professional | 25 | $45.92 | $59.06 | $66.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.67 / $238.94 / $238.94
| Facility | | $28.67 | $238.94 | $238.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.29 / $54.04 / $342.78
| Professional | | $27.29 | $54.04 | $342.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.31 / $35.51 / $69.39
| Facility | | $25.31 | $35.51 | $69.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.90 / $48.42 / $65.70
| Professional | | $33.90 | $48.42 | $65.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.15 / $33.15 / $33.15
| Facility | | $33.15 | $33.15 | $33.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.70 / $41.84 / $71.14
| Professional | | $24.70 | $41.84 | $71.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.83 / $24.83 / $31.64
| Facility | | $24.83 | $24.83 | $31.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.12 / $29.43 / $49.69
| Professional | | $16.12 | $29.43 | $49.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.34 / $62.46 / $80.56
| Professional | | $33.34 | $62.46 | $80.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.79 / $41.85 / $53.09
| Professional | | $33.79 | $41.85 | $53.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $238.94 / $238.94 / $238.94
| Facility | | $238.94 | $238.94 | $238.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.29 / $48.04 / $342.78
| Professional | | $27.29 | $48.04 | $342.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.04 / $53.74 / $80.13
| Professional | | $30.04 | $53.74 | $80.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.34 / $39.96 / $71.26
| Professional | | $25.34 | $39.96 | $71.26 |