- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.02 / $50.41 / $77.56
| Facility | | $15.02 | $50.41 | $77.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.65 / $16.47 / $16.80
| Professional | | $14.65 | $16.47 | $16.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.53 / $121.46 / $8,639.91
| Facility | | $93.53 | $121.46 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.46 / $14.46 / $14.46
| Professional | | $14.46 | $14.46 | $14.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.19 / $24.69 / $61.94
| Facility | | $12.19 | $24.69 | $61.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.65 / $21.06 / $32.58
| Professional | | $11.65 | $21.06 | $32.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $10.94 / $25.10
| Professional | | $8.52 | $10.94 | $25.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.56 / $62.56 / $62.56
| Facility | | $62.56 | $62.56 | $62.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.00 / $18.00 / $18.00
| Professional | | $18.00 | $18.00 | $18.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.76 / $50.41 / $77.56
| Facility | | $15.76 | $50.41 | $77.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.35 / $16.60 / $76.56
| Professional | | $13.35 | $16.60 | $76.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.41 / $28.17 / $61.94
| Facility | | $12.41 | $28.17 | $61.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.65 / $21.06 / $32.58
| Professional | | $11.65 | $21.06 | $32.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.54 / $18.54 / $18.54
| Facility | | $18.54 | $18.54 | $18.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.32 / $18.54 / $26.40
| Professional | | $16.32 | $18.54 | $26.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.34 / $12.44 / $32.50
| Professional | | $8.34 | $12.44 | $32.50 |