- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.61 / $32.32 / $55.83
| Facility | | $18.61 | $32.32 | $55.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.55 / $16.64 / $24.02
| Professional | | $14.55 | $16.64 | $24.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.66 / $11.75 / $39.18
| Professional | | $8.66 | $11.75 | $39.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $19.59 / $19.59
| Facility | | $11.75 | $19.59 | $19.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.30 / $19.59 / $19.59
| Professional | | $14.30 | $19.59 | $19.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.69 / $39.57 / $200.70
| Facility | | $13.69 | $39.57 | $200.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.53 / $21.92 / $94.42
| Professional | | $14.53 | $21.92 | $94.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.00 / $25.47 / $332.00
| Facility | | $8.00 | $25.47 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.84 / $11.75 / $35.85
| Professional | | $7.84 | $11.75 | $35.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $18.61 / $23.55
| Professional | | $12.02 | $18.61 | $23.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.10 / $47.68 / $254.50
| Facility | | $19.10 | $47.68 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.08 / $22.72 / $57.63
| Professional | | $12.08 | $22.72 | $57.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $11.75 / $29.39
| Professional | | $8.23 | $11.75 | $29.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.53 / $22.53 / $32.19
| Facility | | $22.53 | $22.53 | $32.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $18.61 / $23.55
| Professional | | $12.02 | $18.61 | $23.55 |