- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.36 / $179.28 / $445.07
| Facility | | $22.36 | $179.28 | $445.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.17 / $12.61 / $18.64
| Professional | | $11.17 | $12.61 | $18.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $11.18 / $11.65
| Professional | | $8.94 | $11.18 | $11.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.13 / $55.73 / $101.03
| Facility | | $20.13 | $55.73 | $101.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $9.88 / $18.64
| Professional | | $5.00 | $9.88 | $18.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.66 / $27.96 / $215.91
| Facility | | $17.66 | $27.96 | $215.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.64 / $20.80 / $20.80
| Facility | | $18.64 | $20.80 | $20.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.81 / $30.30 / $83.06
| Facility | | $11.81 | $30.30 | $83.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $14.18 / $28.40
| Professional | | $9.01 | $14.18 | $28.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.82 / $88.54 / $88.54
| Facility | | $29.82 | $88.54 | $88.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.58 / $18.64 / $23.30
| Facility | | $13.58 | $18.64 | $23.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.78 / $18.64 / $18.64
| Professional | | $16.78 | $18.64 | $18.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.05 / $18.64 / $26.77
| Facility | | $13.05 | $18.64 | $26.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $14.35 / $23.94
| Professional | | $9.01 | $14.35 | $23.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $7.83 / $11.18
| Professional | | $7.83 | $7.83 | $11.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.27 / $7.46 / $18.64
| Professional | | $7.27 | $7.46 | $18.64 |