- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $20.42 / $199.53
| Facility | | $14.13 | $20.42 | $199.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $9.77 / $18.62
| Professional | | $7.94 | $9.77 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $14.79 / $52.48
| Professional | | $9.55 | $14.79 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $29.51 / $46.77
| Facility | | $25.12 | $29.51 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $20.42 / $39.81
| Professional | | $10.23 | $20.42 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $11.48 / $19.50
| Facility | | $8.71 | $11.48 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $21.38 / $28.18
| Professional | | $18.20 | $21.38 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $12.88 / $28.84
| Facility | | $8.71 | $12.88 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $19.95 / $64.57
| Professional | | $10.00 | $19.95 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $70.79
| Professional | | $32.36 | $33.11 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $23.44 / $33.11
| Professional | | $12.88 | $23.44 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $70.79 / $70.79
| Facility | | $22.39 | $70.79 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $40.74 / $64.57
| Professional | | $12.30 | $40.74 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $67.61 / $77.62
| Facility | | $56.23 | $67.61 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.88 / $67.61 / $87.10
| Professional | | $58.88 | $67.61 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $15.85 / $36.31
| Professional | | $10.00 | $15.85 | $36.31 |