- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.93 / $64.88 / $64.88
| Facility | | $18.93 | $64.88 | $64.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.94 / $18.27 / $24.58
| Professional | | $15.94 | $18.27 | $24.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.52 / $22.65 / $59.68
| Professional | | $17.52 | $22.65 | $59.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.96 / $53.70 / $82.38
| Facility | | $45.96 | $53.70 | $82.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.66 / $40.56 / $58.20
| Professional | | $18.66 | $40.56 | $58.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.18 / $19.16 / $34.79
| Facility | | $16.18 | $19.16 | $34.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.18 / $19.42 / $35.61
| Facility | | $16.18 | $19.42 | $35.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.41 / $30.81 / $162.30
| Professional | | $18.41 | $30.81 | $162.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.43 / $63.63 / $70.00
| Professional | | $24.43 | $63.63 | $70.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.14 / $19.18 / $34.79
| Facility | | $16.14 | $19.18 | $34.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.22 / $40.65 / $57.20
| Professional | | $30.22 | $40.65 | $57.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.97 / $35.11 / $105.00
| Facility | | $19.97 | $35.11 | $105.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.98 / $88.30 / $162.30
| Professional | | $19.98 | $88.30 | $162.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.47 / $34.70 / $61.33
| Professional | | $23.47 | $34.70 | $61.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.82 / $27.37 / $59.89
| Professional | | $17.82 | $27.37 | $59.89 |