- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.59 / $19.59 / $67.09
| Facility | | $19.59 | $19.59 | $67.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.87 / $20.12 / $77.83
| Professional | | $17.87 | $20.12 | $77.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.43 / $33.11 / $108.52
| Professional | | $18.43 | $33.11 | $108.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.86 / $54.76 / $84.00
| Facility | | $46.86 | $54.76 | $84.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.90 / $51.98 / $62.14
| Professional | | $27.90 | $51.98 | $62.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.73 / $22.92 / $111.99
| Facility | | $16.73 | $22.92 | $111.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.73 / $23.21 / $131.75
| Facility | | $16.73 | $23.21 | $131.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.71 / $36.38 / $351.00
| Professional | | $19.71 | $36.38 | $351.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.40 / $62.76 / $85.00
| Professional | | $25.40 | $62.76 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.73 / $22.92 / $111.99
| Facility | | $16.73 | $22.92 | $111.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.80 / $50.13 / $101.44
| Professional | | $31.80 | $50.13 | $101.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.92 / $42.10 / $186.62
| Facility | | $23.92 | $42.10 | $186.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.68 / $108.84 / $351.00
| Professional | | $30.68 | $108.84 | $351.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.83 / $123.15 / $123.15
| Professional | | $60.83 | $123.15 | $123.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.13 / $30.74 / $63.43
| Professional | | $19.13 | $30.74 | $63.43 |