- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.95 / $192.75 / $336.28
| Facility | | $73.95 | $192.75 | $336.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.73 / $70.43 / $154.08
| Professional | | $69.73 | $70.43 | $154.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.30 / $75.65 / $8,459.92
| Facility | | $64.30 | $75.65 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.36 / $72.36 / $149.82
| Professional | | $72.36 | $72.36 | $149.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.78 / $69.73 / $95.63
| Facility | | $65.78 | $69.73 | $95.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.73 / $69.73 / $98.67
| Professional | | $69.73 | $69.73 | $98.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.52 / $104.92 / $146.50
| Professional | | $60.52 | $104.92 | $146.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $379.49 / $530.14 / $584.26
| Facility | | $379.49 | $530.14 | $584.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.19 / $202.15 / $378.81
| Facility | | $83.19 | $202.15 | $378.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.73 / $86.49 / $250.41
| Professional | | $69.73 | $86.49 | $250.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.78 / $69.73 / $95.63
| Facility | | $65.78 | $69.73 | $95.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.73 / $69.73 / $101.25
| Professional | | $69.73 | $69.73 | $101.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99.77 / $99.77 / $115.77
| Facility | | $99.77 | $99.77 | $115.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $99.77 / $99.77 / $115.77
| Professional | | $99.77 | $99.77 | $115.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.89 / $69.73 / $127.61
| Professional | | $27.89 | $69.73 | $127.61 |