- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.29 / $45.69 / $126.67
| Facility | | $18.29 | $45.69 | $126.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.71 / $18.12 / $29.38
| Professional | | $13.71 | $18.12 | $29.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.09 / $72.95 / $133.91
| Facility | | $27.09 | $72.95 | $133.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $13.46 / $34.27
| Professional | | $5.00 | $13.46 | $34.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.20 / $24.48 / $24.48
| Facility | | $15.20 | $24.48 | $24.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.71 / $40.40 / $108.00
| Facility | | $15.71 | $40.40 | $108.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $12.52 / $35.11
| Professional | | $8.82 | $12.52 | $35.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.00 / $123.25 / $123.25
| Facility | | $58.00 | $123.25 | $123.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.13 / $24.48 / $26.93
| Facility | | $17.13 | $24.48 | $26.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.29 / $24.48 / $24.48
| Professional | | $18.29 | $24.48 | $24.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.59 / $24.48 / $55.78
| Facility | | $16.59 | $24.48 | $55.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $12.52 / $24.48
| Professional | | $8.82 | $12.52 | $24.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.55 / $10.28 / $14.69
| Professional | | $7.55 | $10.28 | $14.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $9.78 / $24.48
| Professional | | $9.55 | $9.78 | $24.48 |