- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.32 / $49.00 / $107.90
| Facility | | $18.32 | $49.00 | $107.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.21 / $14.92 / $26.91
| Professional | | $12.21 | $14.92 | $26.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.21 / $21.21 / $55.15
| Facility | | $21.21 | $21.21 | $55.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.95 / $10.98 / $38.77
| Professional | | $7.95 | $10.98 | $38.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.73 / $21.21 / $21.21
| Facility | | $12.73 | $21.21 | $21.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.48 / $21.21 / $21.21
| Professional | | $15.48 | $21.21 | $21.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.82 / $43.10 / $176.75
| Facility | | $14.82 | $43.10 | $176.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.65 / $21.55 / $104.67
| Professional | | $12.65 | $21.55 | $104.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.00 / $29.69 / $332.00
| Facility | | $15.00 | $29.69 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $12.73 / $38.81
| Professional | | $9.69 | $12.73 | $38.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.21 / $21.21 / $21.21
| Facility | | $21.21 | $21.21 | $21.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.32 / $21.21 / $25.49
| Professional | | $15.32 | $21.21 | $25.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.71 / $30.60 / $102.06
| Facility | | $16.71 | $30.60 | $102.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $51.93 / $231.74
| Facility | | $19.55 | $51.93 | $231.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.05 / $21.61 / $36.00
| Professional | | $13.05 | $21.61 | $36.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.73 / $31.82
| Professional | | $8.91 | $12.73 | $31.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.39 / $24.39 / $60.64
| Facility | | $24.39 | $24.39 | $60.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.87 / $20.74 / $27.36
| Professional | | $14.87 | $20.74 | $27.36 |