- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.67 / $52.62 / $84.62
| Facility | | $15.67 | $52.62 | $84.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.29 / $17.29 / $25.46
| Professional | | $15.29 | $17.29 | $25.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.61 / $126.75 / $8,639.91
| Facility | | $97.61 | $126.75 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.09 / $15.09 / $15.09
| Professional | | $15.09 | $15.09 | $15.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.71 / $25.77 / $64.11
| Facility | | $12.71 | $25.77 | $64.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.11 / $22.30 / $33.85
| Professional | | $12.11 | $22.30 | $33.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.90 / $15.48 / $26.20
| Professional | | $8.90 | $15.48 | $26.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.96 / $38.96 / $38.96
| Facility | | $38.96 | $38.96 | $38.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.45 / $50.88 / $84.62
| Facility | | $16.45 | $50.88 | $84.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.93 / $17.42 / $79.92
| Professional | | $13.93 | $17.42 | $79.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.96 / $29.40 / $64.11
| Facility | | $12.96 | $29.40 | $64.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.11 / $22.30 / $33.85
| Professional | | $12.11 | $22.30 | $33.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.35 / $19.35 / $19.35
| Facility | | $19.35 | $19.35 | $19.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.03 / $19.35 / $27.55
| Professional | | $17.03 | $19.35 | $27.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.36 / $11.36 / $11.36
| Facility | | $11.36 | $11.36 | $11.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $12.58 / $33.90
| Professional | | $8.71 | $12.58 | $33.90 |