- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $36.09 / $72.18
| Facility | | $18.05 | $36.09 | $72.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.05 / $28.87 / $154.71
| Professional | | $18.05 | $28.87 | $154.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.30 / $152.29 / $258.75
| Facility | | $43.30 | $152.29 | $258.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.68 / $19.68 / $22.62
| Professional | | $19.68 | $19.68 | $22.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.64 / $15.64 / $15.64
| Facility | | $15.64 | $15.64 | $15.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.06 / $27.67 / $34.59
| Professional | | $11.06 | $27.67 | $34.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.23 / $13.23 / $13.23
| Professional | | $13.23 | $13.23 | $13.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.71 / $24.65 / $34.51
| Facility | | $15.71 | $24.65 | $34.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.73 / $24.06 / $33.04
| Professional | | $18.73 | $24.06 | $33.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $10.50 / $14.44
| Professional | | $10.11 | $10.50 | $14.44 |