- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.66 / $36.60 / $107.63
| Facility | | $14.66 | $36.60 | $107.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.86 / $14.74 / $23.28
| Professional | | $10.86 | $14.74 | $23.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.06 / $64.02 / $115.05
| Facility | | $24.06 | $64.02 | $115.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $10.28 / $17.27
| Professional | | $5.00 | $10.28 | $17.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.39 / $19.39 / $22.35
| Facility | | $19.39 | $19.39 | $22.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.56 / $42.62 / $97.85
| Facility | | $13.56 | $42.62 | $97.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.28 / $14.26 / $32.82
| Professional | | $10.28 | $14.26 | $32.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $93.18 / $100.00
| Facility | | $55.00 | $93.18 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.52 / $19.39 / $25.22
| Facility | | $15.52 | $19.39 | $25.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.34 / $19.39 / $24.02
| Professional | | $18.34 | $19.39 | $24.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.52 / $19.39 / $48.67
| Facility | | $15.52 | $19.39 | $48.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.28 / $14.94 / $28.03
| Professional | | $10.28 | $14.94 | $28.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.15 / $11.10 / $15.84
| Professional | | $8.15 | $11.10 | $15.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.57 / $9.58 / $19.39
| Professional | | $7.57 | $9.58 | $19.39 |