- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.47 / $58.06 / $321.45
| Professional | | $37.47 | $58.06 | $321.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.40 / $8.19 / $182.83
| Facility | | $7.40 | $8.19 | $182.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.80 / $84.16 / $126.59
| Professional | | $80.80 | $84.16 | $126.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.68 / $154.68 / $154.68
| Facility | | $154.68 | $154.68 | $154.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.22 / $69.41 / $103.78
| Professional | | $60.22 | $69.41 | $103.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.45 / $73.97 / $103.78
| Facility | | $65.45 | $73.97 | $103.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.87 / $73.97 / $132.38
| Professional | | $62.87 | $73.97 | $132.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.51 / $93.51 / $112.21
| Professional | | $93.51 | $93.51 | $112.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.09 / $88.77 / $171.21
| Professional | | $76.09 | $88.77 | $171.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $155.37 / $530.95 / $530.95
| Facility | | $155.37 | $530.95 | $530.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.38 / $73.97 / $130.62
| Facility | | $36.38 | $73.97 | $130.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.87 / $73.97 / $89.56
| Professional | | $62.87 | $73.97 | $89.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $210.29 / $210.29 / $210.29
| Professional | | $210.29 | $210.29 | $210.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.72 / $85.72 / $93.51
| Professional | | $85.72 | $85.72 | $93.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.20 / $55.40 / $98.81
| Professional | | $44.20 | $55.40 | $98.81 |