- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.79 / $60.24 / $272.25
| Facility | | $20.79 | $60.24 | $272.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.85 / $61.75 / $63.31
| Professional | | $36.85 | $61.75 | $63.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.19 / $60.72 / $120.95
| Facility | | $24.19 | $60.72 | $120.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.59 / $16.59 / $16.59
| Professional | | $16.59 | $16.59 | $16.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.32 / $53.32 / $278.88
| Facility | | $53.32 | $53.32 | $278.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.47 / $67.47 / $67.47
| Facility | | $67.47 | $67.47 | $67.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.74 / $37.74 / $37.74
| Facility | | $37.74 | $37.74 | $37.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.74 / $37.74 / $37.74
| Professional | | $37.74 | $37.74 | $37.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $144.46 / $282.38
| Facility | | $100.00 | $144.46 | $282.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.40 / $52.07 / $327.02
| Facility | | $36.40 | $52.07 | $327.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.29 / $48.91 / $93.82
| Professional | | $33.29 | $48.91 | $93.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.74 / $37.74 / $86.14
| Facility | | $37.74 | $37.74 | $86.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.74 / $37.74 / $77.65
| Professional | | $37.74 | $37.74 | $77.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.00 / $37.00 / $37.00
| Professional | | $37.00 | $37.00 | $37.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.00 / $49.00 / $66.15
| Professional | | $49.00 | $49.00 | $66.15 |