- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.43 / $22.07 / $34.75
| Facility | | $19.43 | $22.07 | $34.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.32 / $22.07 / $30.30
| Professional | | $16.32 | $22.07 | $30.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.66 / $17.66 / $22.07
| Facility | | $17.66 | $17.66 | $22.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.00 / $19.87 / $19.87
| Professional | | $14.00 | $19.87 | $19.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.12 / $16.12 / $16.12
| Facility | | $16.12 | $16.12 | $16.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.12 / $16.12 / $16.12
| Professional | | $16.12 | $16.12 | $16.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.59 / $19.14 / $78.84
| Facility | | $18.59 | $19.14 | $78.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.82 / $21.82 / $21.82
| Professional | | $21.82 | $21.82 | $21.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.82 / $33.46 / $332.00
| Facility | | $20.82 | $33.46 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.91 / $20.91 / $28.52
| Professional | | $20.91 | $20.91 | $28.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $11.48
| Facility | | $11.48 | $11.48 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $13.78 / $20.46
| Professional | | $11.48 | $13.78 | $20.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.14 / $19.14 / $597.00
| Facility | | $19.14 | $19.14 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $21.82 / $21.86
| Professional | | $15.00 | $21.82 | $21.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.72 / $23.66 / $29.85
| Professional | | $19.72 | $23.66 | $29.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.31 / $20.46 / $20.46
| Facility | | $12.31 | $20.46 | $20.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.21 / $12.39 / $22.07
| Professional | | $10.21 | $12.39 | $22.07 |