- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.58 / $28.16 / $37.94
| Facility | | $24.58 | $28.16 | $37.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.07 / $26.48 / $29.54
| Professional | | $22.07 | $26.48 | $29.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.08 / $38.32 / $78.04
| Facility | | $14.08 | $38.32 | $78.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.58 / $22.58 / $22.58
| Professional | | $22.58 | $22.58 | $22.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.94 / $19.19 / $49.19
| Facility | | $9.94 | $19.19 | $49.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.86 / $21.86 / $25.36
| Professional | | $21.86 | $21.86 | $25.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.82 / $21.82 / $21.82
| Facility | | $21.82 | $21.82 | $21.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.00 / $21.82 / $21.82
| Professional | | $18.00 | $21.82 | $21.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $100.00 / $100.00
| Facility | | $85.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.35 / $21.86 / $33.22
| Facility | | $12.35 | $21.86 | $33.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.79 / $20.79 / $22.07
| Professional | | $20.79 | $20.79 | $22.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.44 / $21.82 / $37.86
| Facility | | $15.44 | $21.82 | $37.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.79 / $21.82 / $22.07
| Professional | | $20.79 | $21.82 | $22.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.73 / $23.27 / $23.98
| Professional | | $18.73 | $23.27 | $23.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.69 / $19.69 / $29.79
| Professional | | $19.69 | $19.69 | $29.79 |