- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.74 / $42.22 / $29,235.36
| Facility | | $24.74 | $42.22 | $29,235.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.65 / $26.01 / $32.47
| Professional | | $23.65 | $26.01 | $32.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.60 / $34.38 / $66.47
| Facility | | $22.60 | $34.38 | $66.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.65 / $24.49 / $27.84
| Professional | | $23.65 | $24.49 | $27.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.31 / $22.31 / $46.26
| Facility | | $22.31 | $22.31 | $46.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.65 / $23.65 / $29.00
| Professional | | $23.65 | $23.65 | $29.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.92 / $23.65 / $44.70
| Facility | | $22.92 | $23.65 | $44.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.34 / $36.15 / $63.27
| Facility | | $20.34 | $36.15 | $63.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.73 / $25.14 / $26.67
| Professional | | $22.73 | $25.14 | $26.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.62 / $27.50 / $51.19
| Facility | | $22.62 | $27.50 | $51.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.65 / $23.65 / $23.65
| Professional | | $23.65 | $23.65 | $23.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.13 / $23.13 / $23.13
| Facility | | $23.13 | $23.13 | $23.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.65 / $23.65 / $23.65
| Professional | | $23.65 | $23.65 | $23.65 |