- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.43 / $32.58 / $106.41
| Facility | | $12.43 | $32.58 | $106.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.21 / $12.50 / $18.92
| Professional | | $9.21 | $12.50 | $18.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.39 / $54.45 / $98.54
| Facility | | $20.39 | $54.45 | $98.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.72 / $14.64
| Professional | | $5.00 | $8.72 | $14.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.61 / $75.61 / $115.31
| Facility | | $75.61 | $75.61 | $115.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.45 / $16.45 / $18.96
| Facility | | $16.45 | $16.45 | $18.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.50 / $35.92 / $75.73
| Facility | | $11.50 | $35.92 | $75.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.72 / $12.09 / $27.90
| Professional | | $8.72 | $12.09 | $27.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $232.69 / $295.85 / $295.85
| Facility | | $232.69 | $295.85 | $295.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.16 / $16.45 / $24.65
| Facility | | $13.16 | $16.45 | $24.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.59 / $16.45 / $21.44
| Professional | | $15.59 | $16.45 | $21.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.16 / $16.45 / $41.40
| Facility | | $13.16 | $16.45 | $41.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.72 / $12.67 / $23.57
| Professional | | $8.72 | $12.67 | $23.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $9.48 / $17.25
| Professional | | $6.91 | $9.48 | $17.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.42 / $8.11 / $16.45
| Professional | | $6.42 | $8.11 | $16.45 |