- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $35.48 / $56.23
| Facility | | $15.85 | $35.48 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $14.13 / $18.20
| Professional | | $10.00 | $14.13 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $2.09 / $25.12
| Professional | | $2.09 | $2.09 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $18.62 / $18.62
| Facility | | $18.62 | $18.62 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $18.62 / $18.62
| Professional | | $13.49 | $18.62 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $39.81 / $47.86
| Facility | | $12.02 | $39.81 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $89.13 / $89.13
| Professional | | $21.38 | $89.13 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $30.90 / $70.79
| Facility | | $18.62 | $30.90 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $11.22 / $36.31
| Professional | | $8.71 | $11.22 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $17.78 / $20.89
| Professional | | $11.75 | $17.78 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $35.48 / $50,118.72
| Facility | | $23.99 | $35.48 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $16.60 / $22.39
| Facility | | $11.22 | $16.60 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $11.22 / $28.18
| Professional | | $7.76 | $11.22 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $18.62 / $21.38
| Facility | | $15.85 | $18.62 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $17.78 / $21.38
| Professional | | $11.22 | $17.78 | $21.38 |