- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $19.66 / $68.81
| Facility | | $0.02 | $19.66 | $68.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.04 / $19.66 / $19.66
| Professional | | $18.04 | $19.66 | $19.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $9.61 / $12.29
| Professional | | $9.61 | $9.61 | $12.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.74 / $6.66 / $17.59
| Professional | | $3.74 | $6.66 | $17.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.51 / $9.18 / $9.18
| Facility | | $5.51 | $9.18 | $9.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $9.18 / $9.18
| Professional | | $5.09 | $9.18 | $9.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $51.03 / $84.04
| Facility | | $50.00 | $51.03 | $84.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.53 / $24.47 / $115.39
| Professional | | $14.53 | $24.47 | $115.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.53 / $21.53 / $21.53
| Professional | | $21.53 | $21.53 | $21.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.58 / $23.35 / $25.72
| Professional | | $21.58 | $23.35 | $25.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $23.44 / $23.44
| Facility | | $23.44 | $23.44 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $51.03 / $597.00
| Facility | | $13.73 | $51.03 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.89 / $16.89 / $24.83
| Professional | | $16.89 | $16.89 | $24.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $14.36 / $35.68
| Professional | | $9.67 | $14.36 | $35.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.12 / $26.16 / $26.16
| Facility | | $11.12 | $26.16 | $26.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.19 / $23.35 / $27.34
| Professional | | $20.19 | $23.35 | $27.34 |