- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.67 / $41.26 / $79.61
| Facility | | $18.67 | $41.26 | $79.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.94 / $20.54 / $21.54
| Professional | | $16.94 | $20.54 | $21.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.81 / $22.81 / $59.31
| Facility | | $22.81 | $22.81 | $59.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.09 / $13.80 / $51.48
| Professional | | $10.09 | $13.80 | $51.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.69 / $22.81 / $22.81
| Facility | | $13.69 | $22.81 | $22.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.64 / $22.81 / $22.81
| Professional | | $16.64 | $22.81 | $22.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.93 / $45.93 / $233.67
| Facility | | $15.93 | $45.93 | $233.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.92 / $25.57 / $145.05
| Professional | | $16.92 | $25.57 | $145.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.10 / $33.04 / $332.00
| Facility | | $19.10 | $33.04 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.42 / $13.69 / $41.74
| Professional | | $10.42 | $13.69 | $41.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.81 / $22.81 / $22.81
| Facility | | $22.81 | $22.81 | $22.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.68 / $22.81 / $29.42
| Professional | | $19.68 | $22.81 | $29.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.98 / $24.65 / $54.38
| Facility | | $18.98 | $24.65 | $54.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.91 / $55.34 / $272.50
| Facility | | $20.91 | $55.34 | $272.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.19 / $31.37 / $60.00
| Professional | | $18.19 | $31.37 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.58 / $13.69 / $34.57
| Professional | | $9.58 | $13.69 | $34.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.23 / $26.23 / $82.27
| Facility | | $26.23 | $26.23 | $82.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.68 / $25.62 / $29.64
| Professional | | $19.68 | $25.62 | $29.64 |