- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.07 / $25.57 / $42.89
| Facility | | $24.07 | $25.57 | $42.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.69 / $26.26 / $61.78
| Professional | | $21.69 | $26.26 | $61.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.52 / $238.94 / $238.94
| Facility | | $23.52 | $238.94 | $238.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.86 / $45.20 / $342.78
| Professional | | $23.86 | $45.20 | $342.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.91 / $62.64 / $79.84
| Facility | | $25.91 | $62.64 | $79.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.19 / $31.59 / $55.90
| Professional | | $24.19 | $31.59 | $55.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.28 / $37.28 / $37.28
| Facility | | $37.28 | $37.28 | $37.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.14 / $41.05 / $80.01
| Professional | | $24.14 | $41.05 | $80.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.22 / $26.81 / $28.55
| Facility | | $20.22 | $26.81 | $28.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.07 / $26.96 / $38.54
| Professional | | $15.07 | $26.96 | $38.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.31 / $56.38 / $70.98
| Professional | | $30.31 | $56.38 | $70.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.01 / $35.35 / $67.59
| Facility | | $29.01 | $35.35 | $67.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.68 / $39.44 / $63.00
| Professional | | $33.68 | $39.44 | $63.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $238.94 / $238.94 / $238.94
| Facility | | $238.94 | $238.94 | $238.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.23 / $46.16 / $342.78
| Professional | | $25.23 | $46.16 | $342.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.63 / $26.97 / $45.14
| Professional | | $19.63 | $26.97 | $45.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.71 / $36.47 / $75.48
| Professional | | $24.71 | $36.47 | $75.48 |