- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.36 / $36.82 / $41.79
| Facility | | $28.36 | $36.82 | $41.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.36 / $37.31 / $49.75
| Professional | | $28.36 | $37.31 | $49.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.63 / $27.76 / $34.17
| Facility | | $25.63 | $27.76 | $34.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.35 / $30.35 / $30.35
| Professional | | $30.35 | $30.35 | $30.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.82 / $56.82 / $56.82
| Facility | | $56.82 | $56.82 | $56.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.59 / $66.59 / $66.59
| Facility | | $66.59 | $66.59 | $66.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.24 / $24.24 / $44.09
| Professional | | $24.24 | $24.24 | $44.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $242.75 / $242.75 / $261.92
| Facility | | $242.75 | $242.75 | $261.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $285.14 / $285.14 / $413.55
| Professional | | $285.14 | $285.14 | $413.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.27 / $42.67 / $56.82
| Facility | | $16.27 | $42.67 | $56.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.05 / $51.14 / $56.82
| Professional | | $20.05 | $51.14 | $56.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.27 / $41.78 / $56.82
| Facility | | $16.27 | $41.78 | $56.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.24 / $24.24 / $47.54
| Professional | | $24.24 | $24.24 | $47.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.00 / $30.36 / $36.15
| Professional | | $21.00 | $30.36 | $36.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.44 / $29.24 / $56.82
| Professional | | $28.44 | $29.24 | $56.82 |