- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.29 / $23.14 / $44.49
| Facility | | $20.29 | $23.14 | $44.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.29 / $26.57 / $46.32
| Professional | | $20.29 | $26.57 | $46.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.30 / $44.88 / $44.88
| Professional | | $22.30 | $44.88 | $44.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,459.92 / $8,639.91 / $79,506.39
| Facility | | $8,459.92 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.22 / $32.15 / $56.42
| Professional | | $29.22 | $32.15 | $56.42 |
- 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
- $27.52 / $36.54 / $57.50
| Professional | | $27.52 | $36.54 | $57.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.50 / $55.50 / $55.50
| Facility | | $55.50 | $55.50 | $55.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.79 / $43.46 / $59.81
| Professional | | $33.79 | $43.46 | $59.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.76 / $30.54 / $37.88
| Professional | | $27.76 | $30.54 | $37.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.29 / $23.14 / $44.49
| Facility | | $20.29 | $23.14 | $44.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.42 / $31.12 / $58.10
| Professional | | $21.42 | $31.12 | $58.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.00 / $33.00 / $33.00
| Facility | | $33.00 | $33.00 | $33.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.57 / $35.81 / $59.00
| Professional | | $27.57 | $35.81 | $59.00 |
- 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
- $27.52 / $36.54 / $58.17
| Professional | | $27.52 | $36.54 | $58.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.81 / $28.61 / $33.29
| Facility | | $24.81 | $28.61 | $33.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.81 / $28.58 / $30.00
| Professional | | $24.81 | $28.58 | $30.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.72 / $34.40 / $59.62
| Professional | | $25.72 | $34.40 | $59.62 |