- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $56.23 / $177.83
| Facility | | $17.78 | $56.23 | $177.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $19.95 / $44.67
| Professional | | $16.60 | $19.95 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $15.49 / $27.54
| Professional | | $7.41 | $15.49 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $50.12 / $97.72
| Facility | | $38.02 | $50.12 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $14.45 / $20.42
| Professional | | $10.00 | $14.45 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $33.11 / $58.88
| Facility | | $14.45 | $33.11 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $15.85 / $32.36
| Professional | | $14.13 | $15.85 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $40.74 / $47.86
| Professional | | $18.62 | $40.74 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $19.50 / $43.65
| Facility | | $17.78 | $19.50 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $31.62 / $34.67
| Professional | | $17.78 | $31.62 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.82 / $128.82 / $263.03
| Facility | | $128.82 | $128.82 | $263.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $22.39 / $38.90
| Facility | | $11.48 | $22.39 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $15.49 / $30.90
| Professional | | $11.22 | $15.49 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.15 / $107.15 / $107.15
| Facility | | $107.15 | $107.15 | $107.15 |