- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.27 / $73.56 / $580.32
| Facility | | $14.27 | $73.56 | $580.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.89 / $15.36 / $22.99
| Professional | | $12.89 | $15.36 | $22.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $22.40 / $59.06
| Professional | | $15.00 | $22.40 | $59.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.35 / $49.49 / $65.78
| Facility | | $42.35 | $49.49 | $65.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.99 / $22.38 / $45.69
| Professional | | $13.99 | $22.38 | $45.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.78 / $15.36 / $32.57
| Facility | | $13.78 | $15.36 | $32.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.06 / $11.06 / $11.06
| Professional | | $11.06 | $11.06 | $11.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.07 / $15.40 / $32.57
| Facility | | $13.07 | $15.40 | $32.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.88 / $28.56 / $164.18
| Professional | | $15.88 | $28.56 | $164.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.35 / $58.40 / $85.00
| Professional | | $48.35 | $58.40 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.78 / $15.36 / $32.57
| Facility | | $13.78 | $15.36 | $32.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.06 / $11.06 / $11.06
| Professional | | $11.06 | $11.06 | $11.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.67 / $37.07 / $51.70
| Professional | | $23.67 | $37.07 | $51.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.71 / $30.24 / $138.41
| Facility | | $17.71 | $30.24 | $138.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.99 / $76.50 / $164.18
| Professional | | $13.99 | $76.50 | $164.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.29 / $55.71 / $55.71
| Professional | | $22.29 | $55.71 | $55.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.88 / $29.12 / $55.22
| Professional | | $15.88 | $29.12 | $55.22 |