- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.82 / $86.34 / $218.66
| Facility | | $20.82 | $86.34 | $218.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.43 / $19.17 / $32.86
| Professional | | $16.43 | $19.17 | $32.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.15 / $13.15 / $16.43
| Professional | | $13.15 | $13.15 | $16.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.58 / $82.17 / $148.44
| Facility | | $29.58 | $82.17 | $148.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $14.52 / $27.12
| Professional | | $5.00 | $14.52 | $27.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.39 / $41.09 / $119.03
| Facility | | $27.39 | $41.09 | $119.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.39 / $38.35 / $38.35
| Facility | | $27.39 | $38.35 | $38.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.14 / $46.70 / $121.51
| Facility | | $19.14 | $46.70 | $121.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.84 / $14.92 / $41.81
| Professional | | $12.84 | $14.92 | $41.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.34 / $130.10 / $130.10
| Facility | | $61.34 | $130.10 | $130.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $27.39 / $32.86
| Facility | | $19.95 | $27.39 | $32.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.65 / $27.39 / $30.13
| Professional | | $24.65 | $27.39 | $30.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.72 / $27.39 / $63.12
| Facility | | $19.72 | $27.39 | $63.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.84 / $16.85 / $29.05
| Professional | | $12.84 | $16.85 | $29.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $11.80 / $18.89
| Professional | | $11.50 | $11.80 | $18.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $10.96 / $27.39
| Professional | | $10.68 | $10.96 | $27.39 |