- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.57 / $23.73 / $81.36
| Facility | | $21.57 | $23.73 | $81.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.51 / $21.60 / $63.99
| Professional | | $19.51 | $21.60 | $63.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.36 / $39.31 / $78.98
| Professional | | $21.36 | $39.31 | $78.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.57 / $68.45 / $105.00
| Facility | | $58.57 | $68.45 | $105.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.35 / $34.18 / $63.10
| Professional | | $20.35 | $34.18 | $63.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.07 / $27.73 / $60.81
| Facility | | $20.07 | $27.73 | $60.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.29 / $26.75 / $60.87
| Facility | | $20.29 | $26.75 | $60.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.86 / $38.00 / $128.81
| Professional | | $21.86 | $38.00 | $128.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.68 / $65.00 / $70.00
| Professional | | $28.68 | $65.00 | $70.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.07 / $27.73 / $60.81
| Facility | | $20.07 | $27.73 | $60.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.35 / $57.45 / $76.05
| Professional | | $38.35 | $57.45 | $76.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.94 / $47.43 / $89.29
| Facility | | $37.94 | $47.43 | $89.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.52 / $85.37 / $144.02
| Professional | | $23.52 | $85.37 | $144.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.73 / $24.73 / $27.59
| Professional | | $24.73 | $24.73 | $27.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.38 / $69.86 / $76.90
| Professional | | $39.38 | $69.86 | $76.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.22 / $38.20 / $78.48
| Professional | | $21.22 | $38.20 | $78.48 |