- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.40 / $56.11 / $100.58
| Facility | | $24.40 | $56.11 | $100.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $10.81 / $35.29
| Professional | | $6.49 | $10.81 | $35.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.29 / $35.29 / $91.75
| Facility | | $35.29 | $35.29 | $91.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.83 / $14.12 / $43.51
| Professional | | $4.83 | $14.12 | $43.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.17 / $35.29 / $35.29
| Facility | | $21.17 | $35.29 | $35.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.76 / $35.29 / $35.29
| Professional | | $25.76 | $35.29 | $35.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.66 / $71.36 / $104.48
| Facility | | $24.66 | $71.36 | $104.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $26.40 / $170.10
| Professional | | $9.22 | $26.40 | $170.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $45.88 / $332.00
| Facility | | $8.60 | $45.88 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.55 / $20.82 / $64.58
| Professional | | $13.55 | $20.82 | $64.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.35 / $15.21 / $37.00
| Professional | | $10.35 | $15.21 | $37.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.66 / $85.98 / $254.50
| Facility | | $24.66 | $85.98 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $15.11 / $54.70
| Professional | | $9.49 | $15.11 | $54.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.38 / $16.80 / $52.95
| Professional | | $9.38 | $16.80 | $52.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.10 / $40.58 / $42.22
| Facility | | $31.10 | $40.58 | $42.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.35 / $15.21 / $42.42
| Professional | | $10.35 | $15.21 | $42.42 |