- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.47 / $30.76 / $80.31
| Facility | | $12.47 | $30.76 | $80.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.89 / $12.20 / $19.79
| Professional | | $9.89 | $12.20 | $19.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.84 / $52.60 / $97.29
| Facility | | $18.84 | $52.60 | $97.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.74 / $13.19
| Professional | | $5.00 | $8.74 | $13.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.48 / $25.56 / $78.67
| Facility | | $16.48 | $25.56 | $78.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.48 / $17.32 / $17.32
| Facility | | $16.48 | $17.32 | $17.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.20 / $30.98 / $71.78
| Facility | | $11.20 | $30.98 | $71.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $10.28 / $25.30
| Professional | | $8.52 | $10.28 | $25.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.00 / $86.70 / $90.00
| Facility | | $81.00 | $86.70 | $90.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.01 / $16.48 / $20.68
| Facility | | $12.01 | $16.48 | $20.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.59 / $16.48 / $17.17
| Professional | | $15.59 | $16.48 | $17.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.73 / $103.73 / $1,200.84
| Facility | | $76.73 | $103.73 | $1,200.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.01 / $16.48 / $39.44
| Facility | | $12.01 | $16.48 | $39.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $11.54 / $20.02
| Professional | | $8.69 | $11.54 | $20.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.93 / $8.01 / $10.25
| Professional | | $6.93 | $8.01 | $10.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $6.85 / $16.48
| Professional | | $6.43 | $6.85 | $16.48 |