- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.77 / $63.64 / $187.88
| Facility | | $27.77 | $63.64 | $187.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.05 / $25.46 / $38.57
| Professional | | $20.05 | $25.46 | $38.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.43 / $121.11 / $218.69
| Facility | | $42.43 | $121.11 | $218.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $20.44 / $38.18
| Professional | | $5.00 | $20.44 | $38.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.00 / $36.99 / $54.00
| Professional | | $27.00 | $36.99 | $54.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.57 / $38.57 / $38.57
| Facility | | $38.57 | $38.57 | $38.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.41 / $62.68 / $172.12
| Facility | | $24.41 | $62.68 | $172.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.88 / $29.10 / $58.85
| Professional | | $18.88 | $29.10 | $58.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.71 / $183.21 / $183.21
| Facility | | $61.71 | $183.21 | $183.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.60 / $38.57 / $42.43
| Facility | | $21.60 | $38.57 | $42.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.78 / $38.57 / $38.57
| Professional | | $32.78 | $38.57 | $38.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.21 / $38.57 / $55.03
| Facility | | $20.21 | $38.57 | $55.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.88 / $29.70 / $49.11
| Professional | | $18.88 | $29.70 | $49.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.20 / $38.57 / $46.28
| Facility | | $16.20 | $38.57 | $46.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.20 / $16.20 / $23.14
| Professional | | $16.20 | $16.20 | $23.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.04 / $15.43 / $38.57
| Professional | | $15.04 | $15.43 | $38.57 |