- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.08 / $32.13 / $89.07
| Facility | | $13.08 | $32.13 | $89.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $10.84 / $16.18
| Professional | | $9.64 | $10.84 | $16.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.21 / $17.21 / $17.21
| Professional | | $17.21 | $17.21 | $17.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.46 / $39.83 / $77.01
| Facility | | $11.46 | $39.83 | $77.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $21.01 / $25.18
| Professional | | $9.11 | $21.01 | $25.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.95 / $81.75 / $81.75
| Facility | | $29.95 | $81.75 | $81.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.05 / $86.05 / $129.08
| Professional | | $86.05 | $86.05 | $129.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.50 / $17.21 / $25.82
| Facility | | $10.50 | $17.21 | $25.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.21 / $17.21 / $21.51
| Professional | | $17.21 | $17.21 | $21.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $30.12 / $60.23
| Professional | | $15.49 | $30.12 | $60.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.69 / $18.07 / $62.32
| Facility | | $11.69 | $18.07 | $62.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $18.93 / $24.78
| Professional | | $15.49 | $18.93 | $24.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $7.23 / $11.01
| Professional | | $7.23 | $7.23 | $11.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $7.65 / $17.21
| Professional | | $7.65 | $7.65 | $17.21 |