- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $26.30 / $77.62
| Facility | | $17.78 | $26.30 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $16.98 / $26.30
| Professional | | $16.98 | $16.98 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $17.78 / $17.78
| Professional | | $17.78 | $17.78 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $18.20
| Facility | | $17.38 | $17.38 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $17.38
| Professional | | $17.38 | $17.38 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $16.60 / $85.11
| Facility | | $16.60 | $16.60 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $17.78 / $81.28
| Professional | | $17.78 | $17.78 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $18.20 / $50.12
| Facility | | $13.80 | $18.20 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $15.85 / $26.92
| Professional | | $15.85 | $15.85 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $19.50 / $20.42
| Facility | | $19.50 | $19.50 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $19.50 / $19.95
| Professional | | $19.50 | $19.50 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $50,118.72 / $75,857.76
| Facility | | $29.51 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $17.78 / $26.92
| Professional | | $17.78 | $17.78 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $19.50 / $22.91
| Facility | | $19.50 | $19.50 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $19.50 / $23.44
| Professional | | $7.41 | $19.50 | $23.44 |