- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.37 / $52.02 / $219.05
| Facility | | $19.37 | $52.02 | $219.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.85 / $19.37 / $25.84
| Professional | | $18.85 | $19.37 | $25.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $13.39 / $23.09
| Professional | | $8.44 | $13.39 | $23.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.80 / $10.80 / $10.80
| Facility | | $10.80 | $10.80 | $10.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.14 / $13.14 / $13.14
| Professional | | $13.14 | $13.14 | $13.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.56 / $66.42 / $198.10
| Facility | | $21.56 | $66.42 | $198.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.98 / $26.85 / $106.04
| Professional | | $10.98 | $26.85 | $106.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.50 / $27.92 / $332.00
| Facility | | $7.50 | $27.92 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.88 / $12.78 / $38.45
| Professional | | $9.88 | $12.78 | $38.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.26 / $27.31 / $42.18
| Professional | | $17.26 | $27.31 | $42.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $11.75 / $94.85
| Facility | | $11.75 | $11.75 | $94.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.91 / $79.18 / $254.50
| Facility | | $19.91 | $79.18 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.98 / $24.10 / $33.56
| Professional | | $10.98 | $24.10 | $33.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.24 / $16.14 / $57.50
| Professional | | $9.24 | $16.14 | $57.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.00 / $33.06 / $33.06
| Facility | | $21.00 | $33.06 | $33.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.26 / $28.76 / $42.18
| Professional | | $17.26 | $28.76 | $42.18 |