- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.20 / $15.53 / $24.62
| Facility | | $14.20 | $15.53 | $24.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.78 / $23.15 / $31.18
| Professional | | $16.78 | $23.15 | $31.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.28 / $25.75 / $37.44
| Professional | | $19.28 | $25.75 | $37.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.54 / $33.54 / $33.54
| Facility | | $33.54 | $33.54 | $33.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.54 / $33.54 / $37.36
| Professional | | $33.54 | $33.54 | $37.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.26 / $40.26 / $40.26
| Facility | | $40.26 | $40.26 | $40.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.16 / $29.16 / $45.72
| Professional | | $29.16 | $29.16 | $45.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.74 / $22.74 / $319.00
| Facility | | $22.74 | $22.74 | $319.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.11 / $45.68 / $66.81
| Professional | | $34.11 | $45.68 | $66.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.38 / $22.38 / $30.79
| Facility | | $22.38 | $22.38 | $30.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.60 / $30.79 / $46.66
| Professional | | $20.60 | $30.79 | $46.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.26 / $40.26 / $555.00
| Facility | | $40.26 | $40.26 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.58 / $29.16 / $62.41
| Professional | | $22.58 | $29.16 | $62.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.31 / $31.59 / $78.87
| Professional | | $23.31 | $31.59 | $78.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.14 / $27.14 / $30.79
| Facility | | $27.14 | $27.14 | $30.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.72 / $30.79 / $57.70
| Professional | | $22.72 | $30.79 | $57.70 |