- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.64 / $50.94 / $141.31
| Facility | | $20.64 | $50.94 | $141.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.38 / $19.89 / $32.76
| Professional | | $16.38 | $19.89 | $32.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.03 / $82.28 / $145.51
| Facility | | $30.03 | $82.28 | $145.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $14.47 / $24.57
| Professional | | $5.00 | $14.47 | $24.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.38 / $25.99 / $40.95
| Professional | | $16.38 | $25.99 | $40.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.30 / $76.98 / $76.98
| Facility | | $27.30 | $76.98 | $76.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.55 / $45.09 / $121.51
| Facility | | $18.55 | $45.09 | $121.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.49 / $13.99 / $41.81
| Professional | | $11.49 | $13.99 | $41.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.24 / $129.68 / $129.68
| Facility | | $52.24 | $129.68 | $129.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.88 / $27.30 / $31.98
| Facility | | $19.88 | $27.30 | $31.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.21 / $27.30 / $27.30
| Professional | | $23.21 | $27.30 | $27.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.88 / $27.30 / $62.75
| Facility | | $19.88 | $27.30 | $62.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.10 / $13.99 / $27.30
| Professional | | $11.10 | $13.99 | $27.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.56 / $12.70 / $15.02
| Facility | | $9.56 | $12.70 | $15.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.84 / $11.47 / $16.38
| Professional | | $9.84 | $11.47 | $16.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.65 / $10.92 / $27.30
| Professional | | $10.65 | $10.92 | $27.30 |