- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.17 / $31.12 / $44.49
| Facility | | $27.17 | $31.12 | $44.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.81 / $28.21 / $65.91
| Professional | | $22.81 | $28.21 | $65.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.04 / $124.64 / $124.64
| Facility | | $22.04 | $124.64 | $124.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.76 / $54.95 / $158.93
| Professional | | $28.76 | $54.95 | $158.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.10 / $36.58 / $36.93
| Facility | | $29.10 | $36.58 | $36.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.07 / $51.47 / $74.36
| Professional | | $37.07 | $51.47 | $74.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.97 / $33.97 / $33.97
| Facility | | $33.97 | $33.97 | $33.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.01 / $45.22 / $70.26
| Professional | | $29.01 | $45.22 | $70.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.05 / $25.30 / $25.72
| Facility | | $24.05 | $25.30 | $25.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.36 / $26.84 / $51.08
| Professional | | $17.36 | $26.84 | $51.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.24 / $65.14 / $82.60
| Professional | | $34.24 | $65.14 | $82.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.47 / $38.20 / $45.72
| Professional | | $32.47 | $38.20 | $45.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124.64 / $124.64 / $124.64
| Facility | | $124.64 | $124.64 | $124.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.72 / $54.13 / $182.79
| Professional | | $32.72 | $54.13 | $182.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.65 / $47.92 / $84.21
| Professional | | $32.65 | $47.92 | $84.21 |