- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.30 / $30.85 / $39.54
| Facility | | $20.30 | $30.85 | $39.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.53 / $22.50 / $33.67
| Professional | | $17.53 | $22.50 | $33.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.64 / $20.68 / $43.99
| Professional | | $16.64 | $20.68 | $43.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.73 / $27.73 / $27.73
| Facility | | $27.73 | $27.73 | $27.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.73 / $27.73 / $27.73
| Professional | | $27.73 | $27.73 | $27.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.32 / $256.37 / $445.71
| Facility | | $21.32 | $256.37 | $445.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.00 / $34.95 / $67.55
| Professional | | $20.00 | $34.95 | $67.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.56 / $32.40 / $332.00
| Facility | | $22.56 | $32.40 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.41 / $24.71 / $39.08
| Professional | | $19.41 | $24.71 | $39.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.35 / $19.41 / $19.41
| Facility | | $17.35 | $19.41 | $19.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.96 / $23.25 / $37.45
| Professional | | $16.96 | $23.25 | $37.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.32 / $405.19 / $597.00
| Facility | | $21.32 | $405.19 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.27 / $31.42 / $62.98
| Professional | | $20.27 | $31.42 | $62.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.48 / $22.30 / $48.03
| Professional | | $16.48 | $22.30 | $48.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.35 / $23.03 / $78.68
| Facility | | $17.35 | $23.03 | $78.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.35 / $23.21 / $47.44
| Professional | | $17.35 | $23.21 | $47.44 |