- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.37 / $41.67 / $71.84
| Facility | | $22.37 | $41.67 | $71.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.48 / $21.23 / $25.21
| Professional | | $17.48 | $21.23 | $25.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.21 / $25.21 / $65.55
| Facility | | $25.21 | $25.21 | $65.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.23 / $14.80 / $53.12
| Professional | | $11.23 | $14.80 | $53.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.13 / $25.21 / $25.21
| Facility | | $15.13 | $25.21 | $25.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.39 / $25.21 / $25.21
| Professional | | $18.39 | $25.21 | $25.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.62 / $50.89 / $242.61
| Facility | | $17.62 | $50.89 | $242.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.57 / $26.30 / $150.59
| Professional | | $17.57 | $26.30 | $150.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.60 / $35.29 / $332.00
| Facility | | $19.60 | $35.29 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.08 / $15.13 / $46.13
| Professional | | $10.08 | $15.13 | $46.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.28 / $25.21 / $31.26
| Professional | | $21.28 | $25.21 | $31.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.40 / $68.40 / $68.40
| Facility | | $68.40 | $68.40 | $68.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.11 / $61.31 / $281.18
| Facility | | $23.11 | $61.31 | $281.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.78 / $32.36 / $51.75
| Professional | | $18.78 | $32.36 | $51.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.59 / $14.42 / $37.03
| Professional | | $10.59 | $14.42 | $37.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.99 / $28.99 / $86.74
| Facility | | $28.99 | $28.99 | $86.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.28 / $27.27 / $32.74
| Professional | | $21.28 | $27.27 | $32.74 |