- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.52 / $37.90 / $65.45
| Facility | | $19.52 | $37.90 | $65.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.77 / $15.52 / $22.97
| Professional | | $12.77 | $15.52 | $22.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.97 / $22.97 / $59.72
| Facility | | $22.97 | $22.97 | $59.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.22 / $11.79 / $41.10
| Professional | | $8.22 | $11.79 | $41.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.78 / $22.97 / $22.97
| Facility | | $13.78 | $22.97 | $22.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.77 / $22.97 / $22.97
| Professional | | $16.77 | $22.97 | $22.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.05 / $48.00 / $184.98
| Facility | | $16.05 | $48.00 | $184.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.23 / $23.38 / $110.72
| Professional | | $13.23 | $23.38 | $110.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $29.86 / $332.00
| Facility | | $10.10 | $29.86 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $13.78 / $42.04
| Professional | | $9.19 | $13.78 | $42.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.54 / $21.82 / $25.80
| Professional | | $15.54 | $21.82 | $25.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.47 / $56.20 / $251.31
| Facility | | $20.47 | $56.20 | $251.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.84 / $26.43 / $38.02
| Professional | | $13.84 | $26.43 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.65 / $13.23 / $33.31
| Professional | | $9.65 | $13.23 | $33.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.41 / $26.41 / $63.39
| Facility | | $26.41 | $26.41 | $63.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.54 / $22.85 / $27.61
| Professional | | $15.54 | $22.85 | $27.61 |