- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.14 / $46.49 / $83.44
| Facility | | $24.14 | $46.49 | $83.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.89 / $23.24 / $41.12
| Professional | | $14.89 | $23.24 | $41.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.80 / $29.80 / $77.48
| Facility | | $29.80 | $29.80 | $77.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.92 / $17.42 / $59.90
| Professional | | $11.92 | $17.42 | $59.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.88 / $29.80 / $29.80
| Facility | | $17.88 | $29.80 | $29.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.75 / $29.80 / $29.80
| Professional | | $21.75 | $29.80 | $29.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.40 / $72.36 / $215.47
| Facility | | $36.40 | $72.36 | $215.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.62 / $36.50 / $95.76
| Professional | | $17.62 | $36.50 | $95.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.10 / $38.74 / $332.00
| Facility | | $13.10 | $38.74 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.86 / $31.29 / $54.53
| Professional | | $20.86 | $31.29 | $54.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.33 / $29.43 / $54.04
| Professional | | $25.33 | $29.43 | $54.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.31 / $72.36 / $254.50
| Facility | | $27.31 | $72.36 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.02 / $38.36 / $89.40
| Professional | | $18.02 | $38.36 | $89.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.52 / $17.88 / $46.78
| Professional | | $12.52 | $17.88 | $46.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.27 / $34.27 / $73.86
| Facility | | $34.27 | $34.27 | $73.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.33 / $31.24 / $79.19
| Professional | | $25.33 | $31.24 | $79.19 |