- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.29 / $40.57 / $55.32
| Facility | | $37.29 | $40.57 | $55.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.94 / $39.19 / $56.69
| Professional | | $32.94 | $39.19 | $56.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.97 / $101.68 / $217.70
| Facility | | $57.97 | $101.68 | $217.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.40 / $36.40 / $44.07
| Professional | | $36.40 | $36.40 | $44.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.04 / $66.04 / $66.04
| Facility | | $66.04 | $66.04 | $66.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.23 / $44.23 / $54.64
| Facility | | $44.23 | $44.23 | $54.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.60 / $37.60 / $44.23
| Professional | | $37.60 | $37.60 | $44.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $195.55 / $310.80 / $318.54
| Facility | | $195.55 | $310.80 | $318.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $452.18 / $630.37 / $630.37
| Professional | | $452.18 | $630.37 | $630.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.28 / $66.04 / $159.26
| Facility | | $40.28 | $66.04 | $159.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.84 / $63.71 / $85.20
| Professional | | $52.84 | $63.71 | $85.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $124.70 / $136.30 / $191.20
| Professional | | $124.70 | $136.30 | $191.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.60 / $66.04 / $159.26
| Facility | | $42.60 | $66.04 | $159.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.60 / $37.60 / $69.09
| Professional | | $37.60 | $37.60 | $69.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.97 / $42.60 / $54.49
| Facility | | $33.97 | $42.60 | $54.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.83 / $38.72 / $77.45
| Professional | | $26.83 | $38.72 | $77.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.17 / $66.04 / $89.15
| Professional | | $42.17 | $66.04 | $89.15 |