- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.24 / $47.53 / $70.56
| Professional | | $30.24 | $47.53 | $70.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.04 / $56.04 / $88.77
| Professional | | $56.04 | $56.04 | $88.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.97 / $52.19 / $69.59
| Facility | | $6.97 | $52.19 | $69.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.97 / $52.19 / $69.59
| Professional | | $6.97 | $52.19 | $69.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.18 / $46.18 / $46.18
| Facility | | $46.18 | $46.18 | $46.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.25 / $46.18 / $60.61
| Professional | | $39.25 | $46.18 | $60.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $319.00 / $332.00 / $332.00
| Facility | | $319.00 | $332.00 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.02 / $47.74 / $67.77
| Professional | | $42.02 | $47.74 | $67.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.40 / $66.54 / $70.08
| Professional | | $61.40 | $66.54 | $70.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.72 / $55.72 / $55.72
| Professional | | $55.72 | $55.72 | $55.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.18 / $46.18 / $46.18
| Facility | | $46.18 | $46.18 | $46.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.25 / $46.18 / $60.61
| Professional | | $39.25 | $46.18 | $60.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.49 / $50.66 / $73.26
| Professional | | $24.49 | $50.66 | $73.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.63 / $62.63 / $62.63
| Facility | | $62.63 | $62.63 | $62.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.63 / $62.63 / $70.08
| Professional | | $62.63 | $62.63 | $70.08 |