- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.47 / $48.73 / $54.32
| Facility | | $34.47 | $48.73 | $54.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.21 / $48.73 / $59.29
| Professional | | $37.21 | $48.73 | $59.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.15 / $110.46 / $233.71
| Facility | | $65.15 | $110.46 | $233.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.54 / $40.54 / $40.54
| Professional | | $40.54 | $40.54 | $40.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.17 / $51.17 / $80.53
| Facility | | $51.17 | $51.17 | $80.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.49 / $43.49 / $43.49
| Professional | | $43.49 | $43.49 | $43.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.80 / $382.31 / $396.25
| Facility | | $138.80 | $382.31 | $396.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $397.13 / $397.13 / $611.03
| Professional | | $397.13 | $397.13 | $611.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.93 / $71.79 / $136.66
| Facility | | $46.93 | $71.79 | $136.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.92 / $80.92 / $85.18
| Professional | | $80.92 | $80.92 | $85.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.09 / $85.18 / $191.66
| Professional | | $71.09 | $85.18 | $191.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.31 / $72.65 / $136.66
| Facility | | $47.31 | $72.65 | $136.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.49 / $43.49 / $70.81
| Professional | | $43.49 | $43.49 | $70.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.10 / $40.00 / $51.82
| Professional | | $30.10 | $40.00 | $51.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.39 / $70.81 / $95.61
| Professional | | $51.39 | $70.81 | $95.61 |