- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.23 / $61.24 / $94.18
| Facility | | $18.23 | $61.24 | $94.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.79 / $20.11 / $40.52
| Professional | | $17.79 | $20.11 | $40.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113.50 / $147.38 / $8,639.91
| Facility | | $113.50 | $147.38 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.57 / $17.57 / $17.57
| Professional | | $17.57 | $17.57 | $17.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.81 / $29.99 / $74.98
| Facility | | $14.81 | $29.99 | $74.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $26.02 / $39.35
| Professional | | $14.13 | $26.02 | $39.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.36 / $13.29 / $30.49
| Professional | | $10.36 | $13.29 | $30.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.94 / $32.94 / $98.90
| Facility | | $32.94 | $32.94 | $98.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.14 / $61.24 / $94.18
| Facility | | $19.14 | $61.24 | $94.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.21 / $20.16 / $93.01
| Professional | | $16.21 | $20.16 | $93.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.08 / $34.20 / $74.98
| Facility | | $15.08 | $34.20 | $74.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $26.02 / $39.35
| Professional | | $14.13 | $26.02 | $39.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.52 / $22.52 / $22.52
| Facility | | $22.52 | $22.52 | $22.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.82 / $22.52 / $32.04
| Professional | | $19.82 | $22.52 | $32.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.13 / $14.79 / $42.81
| Professional | | $10.13 | $14.79 | $42.81 |