- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.57 / $44.06 / $51.02
| Facility | | $31.57 | $44.06 | $51.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.29 / $41.35 / $59.06
| Professional | | $30.29 | $41.35 | $59.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.56 / $32.11 / $84.57
| Facility | | $26.56 | $32.11 | $84.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.29 / $41.66 / $75.31
| Professional | | $29.29 | $41.66 | $75.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.14 / $49.85 / $73.39
| Professional | | $36.14 | $49.85 | $73.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.52 / $53.80 / $93.18
| Professional | | $36.52 | $53.80 | $93.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.79 / $45.76 / $72.15
| Professional | | $39.79 | $45.76 | $72.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.28 / $47.57 / $82.94
| Professional | | $31.28 | $47.57 | $82.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.47 / $174.80 / $174.80
| Facility | | $160.47 | $174.80 | $174.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $218.48 / $218.48 / $298.80
| Professional | | $218.48 | $218.48 | $298.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $32.34
| Professional | | $32.34 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.82 / $45.28 / $68.42
| Facility | | $31.82 | $45.28 | $68.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.52 / $53.80 / $97.71
| Professional | | $36.52 | $53.80 | $97.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.18 / $55.02 / $71.28
| Professional | | $36.18 | $55.02 | $71.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.20 / $55.75 / $143.13
| Professional | | $39.20 | $55.75 | $143.13 |