- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.67 / $30.10 / $37.04
| Facility | | $22.67 | $30.10 | $37.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.34 / $37.04 / $45.13
| Professional | | $27.34 | $37.04 | $45.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.91 / $74.91 / $79.55
| Facility | | $74.91 | $74.91 | $79.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.58 / $39.58 / $51.68
| Professional | | $39.58 | $39.58 | $51.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.00 / $40.00 / $51.21
| Professional | | $40.00 | $40.00 | $51.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.70 / $46.70 / $69.00
| Facility | | $46.70 | $46.70 | $69.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.09 / $34.09 / $50.06
| Professional | | $34.09 | $34.09 | $50.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.44 / $67.42 / $89.89
| Professional | | $52.44 | $67.42 | $89.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.06 / $46.07 / $84.06
| Facility | | $21.06 | $46.07 | $84.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.00 / $93.64 / $124.78
| Professional | | $37.00 | $93.64 | $124.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.21 / $56.53 / $93.79
| Facility | | $43.21 | $56.53 | $93.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.21 / $56.53 / $93.79
| Professional | | $43.21 | $56.53 | $93.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.18 / $87.18 / $104.62
| Facility | | $87.18 | $87.18 | $104.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.61 / $37.36 / $56.30
| Professional | | $29.61 | $37.36 | $56.30 |