- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $32.36 / $51.29
| Facility | | $14.79 | $32.36 | $51.29 |
- 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
- $7.59 / $7.59 / $23.44
| Professional | | $7.59 | $7.59 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $17.38
| Facility | | $17.38 | $17.38 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $17.38 / $17.38
| Professional | | $12.59 | $17.38 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $36.31 / $44.67
| Facility | | $11.22 | $36.31 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $25.12 / $83.18
| Professional | | $17.38 | $25.12 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $28.18 / $66.07
| Facility | | $17.38 | $28.18 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $23.44 / $33.11
| Professional | | $18.20 | $23.44 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $16.60 / $30.90
| Professional | | $14.79 | $16.60 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $32.36 / $50,118.72
| Facility | | $22.39 | $32.36 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $17.78
| Professional | | $17.38 | $17.38 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $17.38 / $20.42
| Facility | | $15.49 | $17.38 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $10.23 / $22.91
| Professional | | $7.24 | $10.23 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $17.38 / $19.95
| Facility | | $14.79 | $17.38 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $17.38 / $33.88
| Professional | | $11.75 | $17.38 | $33.88 |