- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $37.15 / $58.88
| Facility | | $19.50 | $37.15 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $18.20 / $60.26
| Professional | | $14.13 | $18.20 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $10.00 / $43.65
| Professional | | $9.77 | $10.00 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $19.50 / $19.50
| Facility | | $11.75 | $19.50 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $19.50 / $19.50
| Professional | | $14.45 | $19.50 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $41.69 / $213.80
| Facility | | $13.80 | $41.69 | $213.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $28.18 / $95.50
| Professional | | $12.88 | $28.18 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $19.50 / $53.70
| Facility | | $7.94 | $19.50 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $13.80 / $38.02
| Professional | | $9.12 | $13.80 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $18.62 / $21.88
| Professional | | $12.59 | $18.62 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $37.15 / $50,118.72
| Facility | | $16.60 | $37.15 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $17.78 / $23.44
| Facility | | $11.75 | $17.78 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $11.75 / $29.51
| Professional | | $8.32 | $11.75 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $22.39 / $36.31
| Facility | | $11.48 | $22.39 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $18.62 / $25.12
| Professional | | $12.59 | $18.62 | $25.12 |