- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.36 / $34.36 / $37.11
| Facility | | $34.36 | $34.36 | $37.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.36 / $37.11 / $68.72
| Professional | | $34.36 | $37.11 | $68.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.73 / $46.73 / $46.73
| Professional | | $46.73 | $46.73 | $46.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.48 / $78.48 / $78.48
| Facility | | $78.48 | $78.48 | $78.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.01 / $62.01 / $62.01
| Facility | | $62.01 | $62.01 | $62.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.71 / $52.71 / $62.01
| Professional | | $52.71 | $52.71 | $62.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $335.46 / $335.46 / $362.09
| Facility | | $335.46 | $335.46 | $362.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $394.02 / $394.02 / $571.73
| Professional | | $394.02 | $394.02 | $571.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.47 / $58.94 / $78.48
| Facility | | $22.47 | $58.94 | $78.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.47 / $72.20 / $78.48
| Professional | | $22.47 | $72.20 | $78.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.47 / $58.94 / $78.48
| Facility | | $22.47 | $58.94 | $78.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.71 / $52.71 / $62.35
| Professional | | $52.71 | $52.71 | $62.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.01 / $48.63 / $53.64
| Facility | | $29.01 | $48.63 | $53.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.01 / $42.91 / $52.45
| Professional | | $29.01 | $42.91 | $52.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.44 / $78.48 / $118.75
| Professional | | $52.44 | $78.48 | $118.75 |