- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.19 / $40.13 / $73.16
| Facility | | $23.19 | $40.13 | $73.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.19 / $31.61 / $56.64
| Professional | | $23.19 | $31.61 | $56.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.24 / $31.59 / $74.11
| Professional | | $24.24 | $31.59 | $74.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.22 / $13.22 / $33.32
| Facility | | $13.22 | $13.22 | $33.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.22 / $33.32 / $46.54
| Professional | | $13.22 | $33.32 | $46.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.27 / $79.73 / $181.07
| Facility | | $49.27 | $79.73 | $181.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.06 / $43.71 / $119.22
| Professional | | $25.06 | $43.71 | $119.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.10 / $36.13 / $332.00
| Facility | | $20.10 | $36.13 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.18 / $38.49 / $66.56
| Professional | | $30.18 | $38.49 | $66.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.63 / $12.63 / $12.63
| Facility | | $12.63 | $12.63 | $12.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.12 / $38.70 / $69.34
| Professional | | $20.12 | $38.70 | $69.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.00 / $79.77 / $232.55
| Facility | | $38.00 | $79.77 | $232.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.54 / $44.67 / $102.31
| Professional | | $26.54 | $44.67 | $102.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.09 / $33.76 / $68.17
| Professional | | $25.09 | $33.76 | $68.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.06 / $38.06 / $78.59
| Facility | | $38.06 | $38.06 | $78.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.12 / $48.06 / $84.42
| Professional | | $20.12 | $48.06 | $84.42 |