- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $37.15 / $114.82
| Facility | | $16.22 | $37.15 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $19.05 / $26.92
| Professional | | $15.14 | $19.05 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $25.12 / $25.12
| Professional | | $25.12 | $25.12 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $79.43 / $79.43
| Facility | | $79.43 | $79.43 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $44.67 / $112.20
| Facility | | $16.22 | $44.67 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $30.20 / $36.31
| Professional | | $12.02 | $30.20 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.49 / $117.49 / $117.49
| Facility | | $117.49 | $117.49 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $125.89 / $186.21 / $186.21
| Professional | | $125.89 | $186.21 | $186.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $25.70 / $48.98
| Facility | | $19.05 | $25.70 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $19.95 / $30.90
| Professional | | $15.14 | $19.95 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $26.30 / $72.44
| Facility | | $18.20 | $26.30 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $25.12 / $43.65
| Professional | | $14.79 | $25.12 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $10.47 / $25.12
| Facility | | $8.91 | $10.47 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $17.38
| Professional | | $10.47 | $10.47 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $25.12 / $25.12
| Professional | | $9.77 | $25.12 | $25.12 |