- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.25 / $35.26 / $51.66
| Facility | | $20.25 | $35.26 | $51.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.91 / $23.42 / $44.57
| Professional | | $18.91 | $23.42 | $44.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.77 / $22.77 / $24.30
| Professional | | $22.77 | $22.77 | $24.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.25 / $32.84 / $82.25
| Professional | | $13.25 | $32.84 | $82.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.80 / $30.56 / $30.56
| Facility | | $12.80 | $30.56 | $30.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.57 / $30.56 / $30.56
| Professional | | $15.57 | $30.56 | $30.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.66 / $28.51 / $47.86
| Facility | | $23.66 | $28.51 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.91 / $30.62 / $68.98
| Professional | | $13.91 | $30.62 | $68.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.10 / $15.10 / $15.10
| Facility | | $15.10 | $15.10 | $15.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.70 / $23.89 / $44.81
| Professional | | $15.70 | $23.89 | $44.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.64 / $28.69 / $50.97
| Professional | | $19.64 | $28.69 | $50.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.38 / $30.36 / $30.78
| Professional | | $8.38 | $30.36 | $30.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.21 / $36.00 / $57.74
| Professional | | $14.21 | $36.00 | $57.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.51 / $28.51 / $47.86
| Facility | | $28.51 | $28.51 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.00 / $26.69 / $68.12
| Professional | | $11.00 | $26.69 | $68.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.42 / $18.05 / $44.40
| Professional | | $12.42 | $18.05 | $44.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.38 / $26.23 / $61.42
| Professional | | $23.38 | $26.23 | $61.42 |