- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.51 / $35.94 / $62.07
| Facility | | $18.51 | $35.94 | $62.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.86 / $14.41 / $21.78
| Professional | | $11.86 | $14.41 | $21.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.78 / $21.78 / $56.63
| Facility | | $21.78 | $21.78 | $56.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $13.17 / $39.81
| Professional | | $8.71 | $13.17 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.07 / $21.78 / $21.78
| Facility | | $13.07 | $21.78 | $21.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.90 / $21.78 / $21.78
| Professional | | $15.90 | $21.78 | $21.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.22 / $43.82 / $56.15
| Facility | | $15.22 | $43.82 | $56.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.28 / $24.66 / $104.98
| Professional | | $12.28 | $24.66 | $104.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $28.31 / $332.00
| Facility | | $10.00 | $28.31 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $13.07 / $39.86
| Professional | | $8.71 | $13.07 | $39.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.04 / $18.51 / $24.46
| Professional | | $13.04 | $18.51 | $24.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.91 / $52.79 / $254.50
| Facility | | $19.91 | $52.79 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $24.78 / $34.85
| Professional | | $12.74 | $24.78 | $34.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.15 / $13.07 / $33.33
| Professional | | $9.15 | $13.07 | $33.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.05 / $25.05 / $45.85
| Facility | | $25.05 | $25.05 | $45.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.04 / $18.84 / $26.18
| Professional | | $13.04 | $18.84 | $26.18 |