- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $39.29 / $196.26
| Professional | | $27.54 | $39.29 | $196.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.40 / $59.40 / $59.40
| Professional | | $59.40 | $59.40 | $59.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.24 / $4.70 / $106.61
| Facility | | $4.24 | $4.70 | $106.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.42 / $63.30 / $90.52
| Professional | | $41.42 | $63.30 | $90.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.66 / $104.66 / $104.66
| Facility | | $104.66 | $104.66 | $104.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.76 / $42.02 / $82.61
| Professional | | $36.76 | $42.02 | $82.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.54 / $41.54 / $70.23
| Facility | | $41.54 | $41.54 | $70.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.31 / $41.54 / $72.75
| Professional | | $35.31 | $41.54 | $72.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.88 / $63.88 / $76.66
| Professional | | $63.88 | $63.88 | $76.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.06 / $54.90 / $105.88
| Professional | | $47.06 | $54.90 | $105.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.29 / $297.88 / $297.88
| Facility | | $102.29 | $297.88 | $297.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.56 / $47.47 / $88.42
| Facility | | $28.56 | $47.47 | $88.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.31 / $41.54 / $57.00
| Professional | | $35.31 | $41.54 | $57.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $128.38 / $128.38 / $128.38
| Professional | | $128.38 | $128.38 | $128.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.98 / $49.98 / $63.88
| Professional | | $49.98 | $49.98 | $63.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.83 / $36.65 / $86.27
| Professional | | $32.83 | $36.65 | $86.27 |