- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.56 / $34.88 / $35.63
| Facility | | $33.56 | $34.88 | $35.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.90 / $34.88 / $56.60
| Professional | | $32.90 | $34.88 | $56.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,456.92 / $5,821.21 / $8,577.84
| Facility | | $5,456.92 | $5,821.21 | $8,577.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.58 / $39.58 / $51.19
| Professional | | $39.58 | $39.58 | $51.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.83 / $59.83 / $59.83
| Facility | | $59.83 | $59.83 | $59.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.67 / $57.67 / $57.67
| Facility | | $57.67 | $57.67 | $57.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.10 / $42.10 / $57.67
| Professional | | $42.10 | $42.10 | $57.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.34 / $275.93 / $275.93
| Facility | | $109.34 | $275.93 | $275.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $420.15 / $421.74 / $421.74
| Professional | | $420.15 | $421.74 | $421.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.09 / $59.83 / $78.11
| Facility | | $29.09 | $59.83 | $78.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.95 / $50.86 / $79.52
| Professional | | $27.95 | $50.86 | $79.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.00 / $63.91 / $229.15
| Professional | | $33.00 | $63.91 | $229.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.09 / $57.67 / $76.36
| Facility | | $29.09 | $57.67 | $76.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.10 / $42.10 / $63.68
| Professional | | $42.10 | $42.10 | $63.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.54 / $54.29 / $64.64
| Professional | | $37.54 | $54.29 | $64.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.13 / $54.36 / $59.83
| Professional | | $54.13 | $54.36 | $59.83 |