- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.01 / $80.90 / $688.73
| Facility | | $18.01 | $80.90 | $688.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.09 / $21.09 / $25.92
| Professional | | $15.09 | $21.09 | $25.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.90 / $12.38 / $17.91
| Professional | | $7.90 | $12.38 | $17.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.82 / $67.48 / $257.62
| Facility | | $27.82 | $67.48 | $257.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $30.63 / $83.17
| Professional | | $12.59 | $30.63 | $83.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.10 / $41.89 / $332.00
| Facility | | $11.10 | $41.89 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.26 / $25.78 / $46.88
| Professional | | $20.26 | $25.78 | $46.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.34 / $19.34 / $19.34
| Facility | | $19.34 | $19.34 | $19.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.21 / $21.50 / $57.55
| Professional | | $18.21 | $21.50 | $57.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.61 / $45.61 / $45.61
| Facility | | $45.61 | $45.61 | $45.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.66 / $74.06 / $261.77
| Facility | | $19.66 | $74.06 | $261.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.69 / $21.23 / $70.84
| Professional | | $14.69 | $21.23 | $70.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $15.46 / $44.73
| Professional | | $10.82 | $15.46 | $44.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.02 / $30.52 / $32.49
| Facility | | $22.02 | $30.52 | $32.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.37 / $26.54 / $77.73
| Professional | | $18.37 | $26.54 | $77.73 |