- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.52 / $26.76 / $101.01
| Facility | | $23.52 | $26.76 | $101.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.79 / $24.56 / $31.69
| Professional | | $19.79 | $24.56 | $31.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.30 / $26.17 / $74.09
| Professional | | $20.30 | $26.17 | $74.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.58 / $78.98 / $121.15
| Facility | | $67.58 | $78.98 | $121.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.00 / $56.93 / $96.56
| Professional | | $21.00 | $56.93 | $96.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.77 / $26.02 / $35.70
| Facility | | $21.77 | $26.02 | $35.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.41 / $26.02 / $35.72
| Facility | | $21.41 | $26.02 | $35.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.43 / $50.62 / $158.72
| Professional | | $21.43 | $50.62 | $158.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.70 / $33.12 / $75.83
| Professional | | $20.70 | $33.12 | $75.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.77 / $26.02 / $35.70
| Facility | | $21.77 | $26.02 | $35.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.78 / $43.69 / $75.73
| Professional | | $28.78 | $43.69 | $75.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.13 / $54.13 / $54.13
| Facility | | $54.13 | $54.13 | $54.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.63 / $114.10 / $158.72
| Professional | | $21.63 | $114.10 | $158.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.83 / $79.70 / $91.47
| Professional | | $26.83 | $79.70 | $91.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.21 / $33.20 / $82.35
| Professional | | $20.21 | $33.20 | $82.35 |