- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.16 / $70.88 / $234.90
| Facility | | $17.16 | $70.88 | $234.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.24 / $16.23 / $36.84
| Professional | | $13.24 | $16.23 | $36.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $10.74 / $12.43
| Professional | | $10.74 | $10.74 | $12.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.80 / $35.79 / $158.28
| Facility | | $18.80 | $35.79 | $158.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.84 / $16.11 / $31.45
| Professional | | $8.84 | $16.11 | $31.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.40 / $36.67 / $52.38
| Facility | | $12.40 | $36.67 | $52.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.40 / $23.67 / $35.54
| Professional | | $12.40 | $23.67 | $35.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $17.27 / $18.99
| Professional | | $12.74 | $17.27 | $18.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $18.80 / $45.10
| Facility | | $17.89 | $18.80 | $45.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $26.85 / $49.22
| Facility | | $17.89 | $26.85 | $49.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.11 / $16.11 / $16.11
| Professional | | $16.11 | $16.11 | $16.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.59 / $29.54 / $49.23
| Facility | | $20.59 | $29.54 | $49.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.43 / $17.89 / $48.50
| Professional | | $13.43 | $17.89 | $48.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.52 / $8.88 / $20.05
| Professional | | $7.52 | $8.88 | $20.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $8.06 / $9.27
| Professional | | $8.06 | $8.06 | $9.27 |