- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.04 / $43.10 / $77.26
| Facility | | $23.04 | $43.10 | $77.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.37 / $15.66 / $23.04
| Professional | | $14.37 | $15.66 | $23.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.11 / $27.11 / $70.48
| Facility | | $27.11 | $27.11 | $70.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $16.26 / $49.56
| Professional | | $10.84 | $16.26 | $49.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.27 / $27.11 / $27.11
| Facility | | $16.27 | $27.11 | $27.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.79 / $27.11 / $27.11
| Professional | | $19.79 | $27.11 | $27.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.94 / $55.12 / $70.64
| Facility | | $18.94 | $55.12 | $70.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.18 / $26.09 / $130.66
| Professional | | $15.18 | $26.09 | $130.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.89 / $37.95 / $332.00
| Facility | | $22.89 | $37.95 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $16.13 / $50.70
| Professional | | $10.84 | $16.13 | $50.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $25.75 / $30.68
| Professional | | $16.98 | $25.75 | $30.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.91 / $66.41 / $254.50
| Facility | | $19.91 | $66.41 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.62 / $25.90 / $42.02
| Professional | | $17.62 | $25.90 | $42.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.39 / $14.91 / $39.82
| Professional | | $11.39 | $14.91 | $39.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.18 / $31.18 / $37.95
| Facility | | $31.18 | $31.18 | $37.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $27.11 / $32.58
| Professional | | $16.98 | $27.11 | $32.58 |