- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.20 / $38.25 / $65.78
| Facility | | $17.20 | $38.25 | $65.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.16 / $17.64 / $18.62
| Professional | | $13.16 | $17.64 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.46 / $5.46 / $5.46
| Professional | | $5.46 | $5.46 | $5.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.23 / $20.23 / $52.62
| Facility | | $20.23 | $20.23 | $52.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $12.24 / $45.66
| Professional | | $9.66 | $12.24 | $45.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.14 / $20.23 / $20.23
| Facility | | $12.14 | $20.23 | $20.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.78 / $20.23 / $20.23
| Professional | | $14.78 | $20.23 | $20.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.14 / $40.99 / $206.69
| Facility | | $14.14 | $40.99 | $206.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.97 / $22.65 / $130.37
| Professional | | $14.97 | $22.65 | $130.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.10 / $28.34 / $332.00
| Facility | | $15.10 | $28.34 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $12.14 / $37.04
| Professional | | $8.10 | $12.14 | $37.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.20 / $20.23 / $26.87
| Professional | | $17.20 | $20.23 | $26.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.16 / $13.16 / $13.16
| Professional | | $13.16 | $13.16 | $13.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.84 / $18.96 / $90.16
| Facility | | $14.84 | $18.96 | $90.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.73 / $49.38 / $254.50
| Facility | | $19.73 | $49.38 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.21 / $27.82 / $47.00
| Professional | | $16.21 | $27.82 | $47.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.50 / $12.14 / $31.77
| Professional | | $8.50 | $12.14 | $31.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.28 / $23.28 / $74.55
| Facility | | $23.28 | $23.28 | $74.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.84 / $22.62 / $28.02
| Professional | | $17.84 | $22.62 | $28.02 |