- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $77.62 / $199.53
| Facility | | $17.78 | $77.62 | $199.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $16.98 / $53.70
| Professional | | $13.80 | $16.98 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $12.88 / $18.62
| Professional | | $7.94 | $12.88 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $41.69 / $81.28
| Facility | | $31.62 | $41.69 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $16.98
| Professional | | $12.02 | $12.02 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $26.92 / $48.98
| Facility | | $12.02 | $26.92 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $19.95 / $26.30
| Professional | | $11.75 | $19.95 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $34.67 / $40.74
| Professional | | $15.49 | $34.67 | $40.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $16.98 / $36.31
| Facility | | $14.79 | $16.98 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $16.98 / $18.62
| Professional | | $14.79 | $16.98 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $331.13 / $676.08
| Facility | | $331.13 | $331.13 | $676.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $18.62 / $32.36
| Facility | | $9.33 | $18.62 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $12.88 / $25.70
| Professional | | $7.76 | $12.88 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $89.13 / $100.00
| Facility | | $89.13 | $89.13 | $100.00 |