- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $75.86 / $128.82
| Facility | | $25.70 | $75.86 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $15.14 / $18.20
| Professional | | $12.02 | $15.14 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.77 / $93.33 / $95.50
| Facility | | $46.77 | $93.33 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $3.24 / $17.78
| Professional | | $2.09 | $3.24 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $79.43 / $177.83
| Facility | | $36.31 | $79.43 | $177.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $14.79 / $45.71
| Professional | | $10.96 | $14.79 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $30.20 / $61.66
| Facility | | $12.30 | $30.20 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $22.91 / $28.18
| Professional | | $13.49 | $22.91 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $18.62 / $29.51
| Professional | | $14.79 | $18.62 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $18.62 / $32.36
| Professional | | $14.79 | $18.62 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $89.13 / $89.13
| Facility | | $89.13 | $89.13 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $21.38 / $46.77
| Facility | | $9.77 | $21.38 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $18.62 / $18.62
| Professional | | $13.49 | $18.62 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $16.60 / $25.12
| Professional | | $14.79 | $16.60 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $10.23 / $18.62
| Facility | | $7.76 | $10.23 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $8.51 / $33.11
| Professional | | $7.76 | $8.51 | $33.11 |