- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.49 / $51.52 / $51.52
| Facility | | $45.49 | $51.52 | $51.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.77 / $44.01 / $55.44
| Professional | | $37.77 | $44.01 | $55.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.22 / $66.77 / $175.85
| Facility | | $55.22 | $66.77 | $175.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.96 / $63.91 / $118.50
| Professional | | $45.96 | $63.91 | $118.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.81 / $54.81 / $95.84
| Professional | | $46.81 | $54.81 | $95.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.28 / $64.28 / $67.02
| Professional | | $64.28 | $64.28 | $67.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.10 / $78.15 / $113.07
| Professional | | $52.10 | $78.15 | $113.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.11 / $63.13 / $109.25
| Professional | | $41.11 | $63.13 | $109.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $236.62 / $236.62 / $236.62
| Facility | | $236.62 | $236.62 | $236.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $272.02 / $391.64 / $596.54
| Professional | | $272.02 | $391.64 | $596.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $32.34
| Professional | | $32.34 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.93 / $58.03 / $94.69
| Facility | | $42.93 | $58.03 | $94.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.06 / $64.28 / $95.81
| Professional | | $50.06 | $64.28 | $95.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $162.24 / $162.24 / $162.24
| Professional | | $162.24 | $162.24 | $162.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.04 / $56.53 / $134.15
| Professional | | $40.04 | $56.53 | $134.15 |