- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.84 / $53.54 / $85.54
| Facility | | $15.84 | $53.54 | $85.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.45 / $16.04 / $25.82
| Professional | | $15.45 | $16.04 | $25.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.61 / $128.05 / $8,639.91
| Facility | | $98.61 | $128.05 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.26 / $15.26 / $15.26
| Professional | | $15.26 | $15.26 | $15.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.86 / $26.04 / $65.20
| Facility | | $12.86 | $26.04 | $65.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.27 / $22.30 / $34.27
| Professional | | $12.27 | $22.30 | $34.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.00 / $15.65 / $26.48
| Professional | | $9.00 | $15.65 | $26.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99.09 / $99.09 / $99.09
| Facility | | $99.09 | $99.09 | $99.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.63 / $53.54 / $85.54
| Facility | | $16.63 | $53.54 | $85.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.13 / $17.51 / $80.78
| Professional | | $15.13 | $17.51 | $80.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.09 / $29.72 / $65.20
| Facility | | $13.09 | $29.72 | $65.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.27 / $22.30 / $34.27
| Professional | | $12.27 | $22.30 | $34.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $19.55 / $19.55
| Facility | | $19.55 | $19.55 | $19.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.21 / $19.55 / $27.83
| Professional | | $17.21 | $19.55 | $27.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.80 / $12.60 / $35.79
| Professional | | $8.80 | $12.60 | $35.79 |