- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.09 / $35.78 / $36.46
| Facility | | $35.09 | $35.78 | $36.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.19 / $36.46 / $59.17
| Professional | | $33.19 | $36.46 | $59.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.40 / $37.40 / $46.78
| Professional | | $37.40 | $37.40 | $46.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.56 / $78.56 / $78.56
| Facility | | $78.56 | $78.56 | $78.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.62 / $43.62 / $43.62
| Facility | | $43.62 | $43.62 | $43.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.84 / $31.84 / $43.62
| Professional | | $31.84 | $31.84 | $43.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.28 / $363.92 / $363.92
| Facility | | $131.28 | $363.92 | $363.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $393.37 / $393.37 / $572.10
| Professional | | $393.37 | $393.37 | $572.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.48 / $52.49 / $78.56
| Facility | | $22.48 | $52.49 | $78.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.48 / $70.70 / $78.56
| Professional | | $22.48 | $70.70 | $78.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.93 / $80.14 / $176.78
| Professional | | $58.93 | $80.14 | $176.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.48 / $48.70 / $78.56
| Facility | | $22.48 | $48.70 | $78.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.84 / $31.84 / $46.50
| Professional | | $31.84 | $31.84 | $46.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.03 / $41.97 / $49.96
| Professional | | $29.03 | $41.97 | $49.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.89 / $42.60 / $78.56
| Professional | | $41.89 | $42.60 | $78.56 |