- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.53 / $19.80 / $26.00
| Facility | | $16.53 | $19.80 | $26.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.39 / $24.13 / $38.45
| Professional | | $19.39 | $24.13 | $38.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.45 / $18.80 / $25.88
| Professional | | $16.45 | $18.80 | $25.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.77 / $32.18 / $104.65
| Facility | | $23.77 | $32.18 | $104.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.39 / $22.78 / $36.24
| Professional | | $17.39 | $22.78 | $36.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.80 / $25.99 / $36.42
| Professional | | $18.80 | $25.99 | $36.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.00 / $12.00 / $23.28
| Facility | | $12.00 | $12.00 | $23.28 |
- 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
- $23.15 / $31.56 / $50.59
| Professional | | $23.15 | $31.56 | $50.59 |
- 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
- $342.78 / $342.78 / $342.78
| Professional | | $342.78 | $342.78 | $342.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $27.03 / $46.92
| Facility | | $21.38 | $27.03 | $46.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.30 / $33.00 / $44.53
| Professional | | $25.30 | $33.00 | $44.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.41 / $27.29 / $55.30
| Professional | | $20.41 | $27.29 | $55.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $27.04 / $47.86
| Facility | | $21.38 | $27.04 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.42 / $35.03 / $60.93
| Professional | | $24.42 | $35.03 | $60.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.97 / $28.15 / $44.28
| Professional | | $20.97 | $28.15 | $44.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.43 / $24.04 / $32.90
| Professional | | $20.43 | $24.04 | $32.90 |