- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.15 / $26.85 / $163.84
| Facility | | $13.15 | $26.85 | $163.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.27 / $25.30 / $31.16
| Professional | | $18.27 | $25.30 | $31.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $14.83 / $21.19
| Professional | | $9.11 | $14.83 | $21.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.80 / $31.84 / $31.84
| Facility | | $7.80 | $31.84 | $31.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.84 / $31.84 / $31.84
| Professional | | $31.84 | $31.84 | $31.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.26 / $81.15 / $220.11
| Facility | | $33.26 | $81.15 | $220.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.11 / $34.76 / $100.01
| Professional | | $13.11 | $34.76 | $100.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.60 / $33.36 / $332.00
| Facility | | $20.60 | $33.36 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.87 / $19.61 / $34.38
| Professional | | $14.87 | $19.61 | $34.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.33 / $23.33 / $23.33
| Facility | | $23.33 | $23.33 | $23.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.55 / $25.58 / $69.20
| Professional | | $21.55 | $25.58 | $69.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.91 / $88.54 / $254.50
| Facility | | $19.91 | $88.54 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.80 / $22.19 / $84.60
| Professional | | $14.80 | $22.19 | $84.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.54 / $18.67 / $52.05
| Professional | | $12.54 | $18.67 | $52.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.00 / $36.69 / $36.69
| Facility | | $21.00 | $36.69 | $36.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.16 / $31.91 / $84.79
| Professional | | $22.16 | $31.91 | $84.79 |