- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.64 / $35.45 / $66.87
| Facility | | $17.64 | $35.45 | $66.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.01 / $16.93 / $18.68
| Professional | | $14.01 | $16.93 | $18.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.68 / $18.68 / $90.97
| Facility | | $18.68 | $18.68 | $90.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.23 / $9.23 / $11.30
| Professional | | $9.23 | $9.23 | $11.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.15 / $49.15 / $73.56
| Professional | | $32.15 | $49.15 | $73.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.06 / $44.44 / $95.61
| Facility | | $13.06 | $44.44 | $95.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.59 / $12.63 / $21.48
| Professional | | $10.59 | $12.63 | $21.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.42 / $23.35 / $27.65
| Professional | | $22.42 | $23.35 | $27.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.67 / $16.95 / $18.07
| Facility | | $15.67 | $16.95 | $18.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.14 / $22.15 / $45.00
| Professional | | $7.14 | $22.15 | $45.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.53 / $24.89 / $4,071.00
| Facility | | $14.53 | $24.89 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.53 / $24.89 / $4,071.00
| Professional | | $14.53 | $24.89 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.42 / $22.42 / $22.42
| Facility | | $22.42 | $22.42 | $22.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.54 / $10.65 / $15.34
| Professional | | $6.54 | $10.65 | $15.34 |