- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.28 / $42.09 / $42.90
| Facility | | $41.28 | $42.09 | $42.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.86 / $42.90 / $69.62
| Professional | | $38.86 | $42.90 | $69.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.00 / $44.00 / $55.05
| Professional | | $44.00 | $44.00 | $55.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.45 / $92.45 / $92.45
| Facility | | $92.45 | $92.45 | $92.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.32 / $51.32 / $51.32
| Facility | | $51.32 | $51.32 | $51.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.46 / $37.46 / $51.32
| Professional | | $37.46 | $37.46 | $51.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.44 / $428.17 / $428.17
| Facility | | $154.44 | $428.17 | $428.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $462.74 / $462.74 / $673.13
| Professional | | $462.74 | $462.74 | $673.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.46 / $64.41 / $92.45
| Facility | | $26.46 | $64.41 | $92.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.46 / $83.21 / $92.45
| Professional | | $26.46 | $83.21 | $92.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.72 / $94.30 / $208.01
| Professional | | $70.72 | $94.30 | $208.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.46 / $59.03 / $92.45
| Facility | | $26.46 | $59.03 | $92.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.46 / $37.46 / $54.71
| Professional | | $37.46 | $37.46 | $54.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.15 / $50.51 / $58.79
| Professional | | $34.15 | $50.51 | $58.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.09 / $49.20 / $92.45
| Professional | | $48.09 | $49.20 | $92.45 |