- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.07 / $20.07 / $74.09
| Facility | | $20.07 | $20.07 | $74.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.13 / $20.16 / $28.52
| Professional | | $17.13 | $20.16 | $28.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.84 / $26.52 / $64.00
| Professional | | $17.84 | $26.52 | $64.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.07 / $63.18 / $96.92
| Facility | | $54.07 | $63.18 | $96.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.68 / $48.51 / $55.31
| Professional | | $21.68 | $48.51 | $55.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.05 / $21.13 / $39.72
| Facility | | $17.05 | $21.13 | $39.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.13 / $21.25 / $41.58
| Facility | | $17.13 | $21.25 | $41.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.00 / $30.99 / $120.34
| Professional | | $19.00 | $30.99 | $120.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.71 / $34.06 / $70.00
| Professional | | $19.71 | $34.06 | $70.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.05 / $21.13 / $39.72
| Facility | | $17.05 | $21.13 | $39.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.64 / $46.97 / $65.98
| Professional | | $32.64 | $46.97 | $65.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.69 / $92.34 / $92.34
| Facility | | $22.69 | $92.34 | $92.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.44 / $84.15 / $120.34
| Professional | | $22.44 | $84.15 | $120.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.93 / $24.93 / $24.93
| Facility | | $24.93 | $24.93 | $24.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.43 / $40.54 / $40.54
| Professional | | $24.43 | $40.54 | $40.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.00 / $30.34 / $49.73
| Professional | | $19.00 | $30.34 | $49.73 |