- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.63 / $23.71 / $138.08
| Facility | | $10.63 | $23.71 | $138.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $12.42 / $67.17
| Professional | | $10.63 | $12.42 | $67.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.98 / $45.57 / $84.40
| Facility | | $17.98 | $45.57 | $84.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.10 / $15.31 / $27.13
| Professional | | $14.10 | $15.31 | $27.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.60 / $17.42 / $18.76
| Facility | | $14.60 | $17.42 | $18.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.34 / $187.94 / $208.47
| Facility | | $75.34 | $187.94 | $208.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.21 / $26.26 / $150.44
| Professional | | $14.21 | $26.26 | $150.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.30 / $328.62 / $328.62
| Facility | | $88.30 | $328.62 | $328.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $653.00 / $653.00 / $653.00
| Professional | | $653.00 | $653.00 | $653.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.55 / $79.97 / $127.44
| Facility | | $15.55 | $79.97 | $127.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.42 / $30.43 / $43.77
| Professional | | $17.42 | $30.43 | $43.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.54 / $23.92 / $37.52
| Professional | | $18.54 | $23.92 | $37.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.89 / $80.87 / $142.77
| Facility | | $15.89 | $80.87 | $142.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.83 / $28.43 / $158.83
| Professional | | $14.83 | $28.43 | $158.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.97 / $22.56 / $112.93
| Professional | | $13.97 | $22.56 | $112.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.74 / $17.42 / $24.95
| Professional | | $15.74 | $17.42 | $24.95 |