- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $25.59 / $108.94
| Facility | | $11.48 | $25.59 | $108.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.77 / $16.21 / $30.54
| Professional | | $8.77 | $16.21 | $30.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.56 / $33.22 / $88.18
| Professional | | $14.56 | $33.22 | $88.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.29 / $37.47 / $37.47
| Professional | | $33.29 | $37.47 | $37.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.76 / $55.81 / $90.02
| Facility | | $47.76 | $55.81 | $90.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.25 / $34.11 / $64.53
| Professional | | $17.25 | $34.11 | $64.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.50 / $18.05 / $35.60
| Facility | | $10.50 | $18.05 | $35.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.96 / $19.03 / $99.32
| Facility | | $9.96 | $19.03 | $99.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.78 / $50.80 / $98.23
| Professional | | $19.78 | $50.80 | $98.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.31 / $51.19 / $85.00
| Professional | | $27.31 | $51.19 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.50 / $18.05 / $35.60
| Facility | | $10.50 | $18.05 | $35.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.61 / $37.56 / $61.32
| Professional | | $20.61 | $37.56 | $61.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.86 / $53.86 / $53.86
| Facility | | $53.86 | $53.86 | $53.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.39 / $45.65 / $169.00
| Professional | | $17.39 | $45.65 | $169.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.95 / $62.58 / $124.03
| Professional | | $46.95 | $62.58 | $124.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.55 / $50.84 / $80.09
| Professional | | $19.55 | $50.84 | $80.09 |