- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.18 / $35.10 / $60.62
| Facility | | $18.18 | $35.10 | $60.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.20 / $17.26 / $21.70
| Professional | | $14.20 | $17.26 | $21.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.27 / $21.27 / $55.30
| Facility | | $21.27 | $21.27 | $55.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.13 / $12.11 / $43.36
| Professional | | $9.13 | $12.11 | $43.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.76 / $21.27 / $21.27
| Facility | | $12.76 | $21.27 | $21.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.53 / $21.27 / $21.27
| Professional | | $15.53 | $21.27 | $21.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.86 / $44.95 / $197.67
| Facility | | $14.86 | $44.95 | $197.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.32 / $21.55 / $102.52
| Professional | | $14.32 | $21.55 | $102.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.60 / $30.45 / $332.00
| Facility | | $17.60 | $30.45 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $12.76 / $38.92
| Professional | | $8.51 | $12.76 | $38.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.28 / $21.27 / $25.56
| Professional | | $17.28 | $21.27 | $25.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.91 / $51.93 / $254.50
| Facility | | $19.91 | $51.93 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.22 / $26.30 / $42.44
| Professional | | $15.22 | $26.30 | $42.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.93 / $12.76 / $31.91
| Professional | | $8.93 | $12.76 | $31.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.46 / $24.46 / $70.48
| Facility | | $24.46 | $24.46 | $70.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.28 / $22.58 / $26.05
| Professional | | $17.28 | $22.58 | $26.05 |