- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.73 / $54.99 / $71.44
| Facility | | $23.73 | $54.99 | $71.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.20 / $25.46 / $34.60
| Professional | | $25.20 | $25.46 | $34.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.34 / $27.34 / $8,459.92
| Facility | | $23.34 | $27.34 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.16 / $26.16 / $26.16
| Professional | | $26.16 | $26.16 | $26.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.78 / $25.20 / $25.20
| Facility | | $23.78 | $25.20 | $25.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.20 / $25.20 / $26.59
| Professional | | $25.20 | $25.20 | $26.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.16 / $27.34 / $37.84
| Professional | | $26.16 | $27.34 | $37.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $504.81 / $504.81 / $504.81
| Facility | | $504.81 | $504.81 | $504.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.73 / $40.10 / $71.44
| Facility | | $23.73 | $40.10 | $71.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.73 / $25.46 / $57.81
| Professional | | $23.73 | $25.46 | $57.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.40 / $49.00 / $59.60
| Professional | | $27.40 | $49.00 | $59.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.78 / $25.20 / $25.20
| Facility | | $23.78 | $25.20 | $25.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.20 / $25.20 / $27.43
| Professional | | $25.20 | $25.20 | $27.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.65 / $25.65 / $29.77
| Facility | | $25.65 | $25.65 | $29.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.65 / $25.65 / $29.77
| Professional | | $25.65 | $25.65 | $29.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.20 / $26.71 / $40.29
| Professional | | $25.20 | $26.71 | $40.29 |