- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.43 / $53.57 / $71.42
| Facility | | $32.43 | $53.57 | $71.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.97 / $37.36 / $56.98
| Professional | | $23.97 | $37.36 | $56.98 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $85.57 / $85.57 / $85.57
| Professional | 25 | $85.57 | $85.57 | $85.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $209.24 / $209.24 / $209.24
| Facility | | $209.24 | $209.24 | $209.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.80 / $106.83 / $311.22
| Professional | | $43.80 | $106.83 | $311.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.79 / $65.77 / $82.01
| Facility | | $52.79 | $65.77 | $82.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.59 / $74.95 / $119.61
| Professional | | $43.59 | $74.95 | $119.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.36 / $66.75 / $132.15
| Professional | | $43.36 | $66.75 | $132.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.45 / $60.26 / $102.70
| Professional | | $32.45 | $60.26 | $102.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.43 / $100.08 / $149.31
| Professional | | $52.43 | $100.08 | $149.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.08 / $85.08 / $85.08
| Professional | | $85.08 | $85.08 | $85.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $209.24 / $209.24 / $209.24
| Facility | | $209.24 | $209.24 | $209.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.43 / $152.56 / $311.22
| Professional | | $53.43 | $152.56 | $311.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.49 / $27.49 / $47.92
| Professional | | $27.49 | $27.49 | $47.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.00 / $67.17 / $141.80
| Professional | | $48.00 | $67.17 | $141.80 |