- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.89 / $20.89 / $22.91
| Facility | | $20.89 | $20.89 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $23.99 / $40.74
| Professional | | $18.20 | $23.99 | $40.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $38.90 / $186.21
| Professional | | $24.55 | $38.90 | $186.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $38.02 / $67.61
| Professional | | $28.18 | $38.02 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.84 / $28.84 / $43.65
| Professional | | $28.84 | $28.84 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $26.92 / $34.67
| Facility | | $26.92 | $26.92 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $50.12 / $72.44
| Professional | | $38.02 | $50.12 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $46.77 / $83.18
| Professional | | $26.92 | $46.77 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $48.98 / $54.95
| Professional | | $30.90 | $48.98 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $38.90 / $186.21
| Professional | | $24.55 | $38.90 | $186.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.30 / $46.77 / $64.57
| Professional | | $26.30 | $46.77 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $50.12
| Facility | | $50.12 | $50.12 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $38.90 / $89.13
| Professional | | $25.12 | $38.90 | $89.13 |