- 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
- $17.01 / $23.33 / $33.85
| Professional | | $17.01 | $23.33 | $33.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.28 / $25.75 / $35.71
| Professional | | $19.28 | $25.75 | $35.71 |
- 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
- $19.86 / $30.79 / $47.27
| Professional | | $19.86 | $30.79 | $47.27 |
- 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
- Facility
- Modifier
- Low / Median / High Price
- $63.81 / $73.17 / $86.35
| Facility | | $63.81 | $73.17 | $86.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.90 / $30.43 / $69.39
| Professional | | $22.90 | $30.43 | $69.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.72 / $24.72 / $30.79
| Facility | | $24.72 | $24.72 | $30.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.59 / $30.79 / $51.51
| Professional | | $22.59 | $30.79 | $51.51 |