- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $27.54 / $77.62
| Facility | | $11.48 | $27.54 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.88 / $18.20
| Professional | | $10.00 | $12.88 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $17.38
| Professional | | $17.38 | $17.38 | $17.38 |
- 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
- $11.22 / $31.62 / $77.62
| Facility | | $11.22 | $31.62 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $20.89 / $25.12
| Professional | | $9.12 | $20.89 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.28 / $81.28 / $81.28
| Facility | | $81.28 | $81.28 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.11 / $128.82 / $128.82
| Professional | | $85.11 | $128.82 | $128.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $17.38 / $32.36
| Facility | | $12.88 | $17.38 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $14.13 / $19.95
| Professional | | $10.00 | $14.13 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $18.62 / $36.31
| Professional | | $16.60 | $18.62 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $17.78 / $47.86
| Facility | | $12.02 | $17.78 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $17.38 / $30.20
| Professional | | $15.49 | $17.38 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $7.24 / $17.38
| Facility | | $6.17 | $7.24 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $7.24 / $11.75
| Professional | | $7.24 | $7.24 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $17.38 / $17.38
| Professional | | $6.76 | $17.38 | $17.38 |