- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $34.67 / $34.67
| Facility | | $34.67 | $34.67 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.99 / $33.11 / $54.95
| Professional | | $23.99 | $33.11 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.88 / $33.88 / $33.88
| Facility | | $33.88 | $33.88 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $25.12 / $25.12
| Professional | | $25.12 | $25.12 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $117.49 / $147.91
| Professional | | $45.71 | $117.49 | $147.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $45.71 / $63.10
| Facility | | $36.31 | $45.71 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $47.86 / $64.57
| Professional | | $43.65 | $47.86 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.86 / $58.88 / $61.66
| Facility | | $47.86 | $58.88 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.70 / $60.26 / $61.66
| Professional | | $53.70 | $60.26 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $48.98 / $75.86
| Facility | | $30.20 | $48.98 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $57.54 / $79.43
| Professional | | $25.12 | $57.54 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $85.11 / $229.09
| Facility | | $50.12 | $85.11 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.66 / $67.61 / $67.61
| Professional | | $61.66 | $67.61 | $67.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $89.13 / $120.23
| Facility | | $26.92 | $89.13 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $27.54 / $52.48
| Professional | | $24.55 | $27.54 | $52.48 |