- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.71 / $57.54 / $91.20
| Facility | | $45.71 | $57.54 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $43.65 / $75.86
| Professional | | $30.20 | $43.65 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $42.66 / $54.95 / $67.61
| Professional | 25 | $42.66 | $54.95 | $67.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123.03 / $218.78 / $660.69
| Facility | | $123.03 | $218.78 | $660.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.61 / $109.65 / $173.78
| Professional | | $67.61 | $109.65 | $173.78 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $52.48 / $85.11 / $138.04
| Professional | 25 | $52.48 | $85.11 | $138.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.18 / $234.42 / $549.54
| Facility | | $162.18 | $234.42 | $549.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.20 / $158.49 / $269.15
| Professional | | $112.20 | $158.49 | $269.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $223.87 / $436.52
| Facility | | $177.83 | $223.87 | $436.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $109.65 / $158.49 / $223.87
| Professional | | $109.65 | $158.49 | $223.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $61.66 / $120.23
| Facility | | $39.81 | $61.66 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.77 / $91.20 / $316.23
| Professional | | $46.77 | $91.20 | $316.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $263.03 / $354.81
| Facility | | $257.04 | $263.03 | $354.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $79.43 / $147.91
| Professional | | $43.65 | $79.43 | $147.91 |