- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.23 / $54.24 / $88.94
| Facility | | $17.23 | $54.24 | $88.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.59 / $17.23 / $87.85
| Professional | | $16.59 | $17.23 | $87.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96.50 / $125.32 / $8,639.91
| Facility | | $96.50 | $125.32 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.59 / $16.59 / $16.59
| Professional | | $16.59 | $16.59 | $16.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.98 / $27.66 / $70.63
| Facility | | $13.98 | $27.66 | $70.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.96 / $24.32 / $33.43
| Professional | | $11.96 | $24.32 | $33.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $12.55 / $28.80
| Professional | | $9.77 | $12.55 | $28.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.07 / $54.53 / $88.94
| Facility | | $18.07 | $54.53 | $88.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.95 / $17.70 / $87.85
| Professional | | $15.95 | $17.70 | $87.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.24 / $29.07 / $70.63
| Facility | | $14.24 | $29.07 | $70.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.96 / $24.32 / $33.43
| Professional | | $11.96 | $24.32 | $33.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.27 / $21.27 / $21.27
| Facility | | $21.27 | $21.27 | $21.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.72 / $21.27 / $27.23
| Professional | | $18.72 | $21.27 | $27.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.23 / $11.23 / $11.23
| Facility | | $11.23 | $11.23 | $11.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.93 / $13.19 / $36.15
| Professional | | $8.93 | $13.19 | $36.15 |