- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.59 / $21.83 / $23.57
| Facility | | $16.59 | $21.83 | $23.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.46 / $21.83 / $29.10
| Professional | | $14.46 | $21.83 | $29.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.48 / $26.80 / $61.06
| Facility | | $17.48 | $26.80 | $61.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.19 / $21.19 / $38.94
| Facility | | $21.19 | $21.19 | $38.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.56 / $18.01 / $18.01
| Professional | | $13.56 | $18.01 | $18.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.45 / $156.36 / $157.84
| Facility | | $67.45 | $156.36 | $157.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $165.49 / $165.49 / $249.23
| Professional | | $165.49 | $165.49 | $249.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.83 / $26.16 / $41.45
| Facility | | $21.83 | $26.16 | $41.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.11 / $31.57 / $33.22
| Professional | | $28.11 | $31.57 | $33.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.70 / $38.21 / $65.50
| Professional | | $24.70 | $38.21 | $65.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.12 / $26.16 / $41.62
| Facility | | $22.12 | $26.16 | $41.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.56 / $18.01 / $18.01
| Professional | | $13.56 | $18.01 | $18.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $15.33 / $20.21
| Professional | | $11.75 | $15.33 | $20.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.27 / $33.22 / $44.86
| Professional | | $14.27 | $33.22 | $44.86 |