- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.46 / $33.74 / $85.97
| Facility | | $13.46 | $33.74 | $85.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $13.56 / $21.71
| Professional | | $10.84 | $13.56 | $21.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.09 / $56.08 / $136.04
| Facility | | $18.09 | $56.08 | $136.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.85 / $18.09 / $18.09
| Professional | | $10.85 | $18.09 | $18.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.28 / $24.42 / $40.70
| Facility | | $16.28 | $24.42 | $40.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.09 / $18.09 / $18.09
| Facility | | $18.09 | $18.09 | $18.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.64 / $30.02 / $79.48
| Facility | | $12.64 | $30.02 | $79.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.65 / $14.69 / $27.11
| Professional | | $8.65 | $14.69 | $27.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.44 / $85.93 / $100.00
| Facility | | $66.44 | $85.93 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.85 / $18.09 / $21.71
| Facility | | $10.85 | $18.09 | $21.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.28 / $18.09 / $18.09
| Professional | | $16.28 | $18.09 | $18.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.53 / $18.09 / $41.33
| Facility | | $11.53 | $18.09 | $41.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.65 / $14.72 / $18.71
| Professional | | $8.65 | $14.72 | $18.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.60 / $18.09 / $21.71
| Facility | | $7.60 | $18.09 | $21.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.58 / $10.85 / $18.09
| Professional | | $10.58 | $10.85 | $18.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $7.24 / $18.09
| Professional | | $7.24 | $7.24 | $18.09 |