- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.82 / $45.20 / $51.31
| Facility | | $34.82 | $45.20 | $51.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.82 / $45.81 / $61.08
| Professional | | $34.82 | $45.81 | $61.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.45 / $34.07 / $41.93
| Facility | | $31.45 | $34.07 | $41.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.26 / $37.26 / $37.26
| Professional | | $37.26 | $37.26 | $37.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.75 / $69.75 / $69.75
| Facility | | $69.75 | $69.75 | $69.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.70 / $37.70 / $38.83
| Facility | | $37.70 | $37.70 | $38.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.46 / $32.04 / $37.70
| Professional | | $28.46 | $32.04 | $37.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $327.64 / $331.31 / $331.31
| Facility | | $327.64 | $331.31 | $331.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $347.36 / $347.36 / $523.13
| Professional | | $347.36 | $347.36 | $523.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.09 / $51.31 / $69.75
| Facility | | $19.09 | $51.31 | $69.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.69 / $62.78 / $69.75
| Professional | | $42.69 | $62.78 | $69.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.09 / $49.91 / $69.75
| Facility | | $19.09 | $49.91 | $69.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.46 / $32.04 / $49.30
| Professional | | $28.46 | $32.04 | $49.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.65 / $32.17 / $42.42
| Professional | | $24.65 | $32.17 | $42.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.60 / $44.60 / $69.75
| Professional | | $44.60 | $44.60 | $69.75 |