- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $20.89 / $37.15
| Facility | | $15.49 | $20.89 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $15.14 / $30.20
| Professional | | $15.14 | $15.14 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $15.49
| Professional | | $15.49 | $15.49 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $16.98
| Facility | | $16.22 | $16.22 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $16.22
| Professional | | $16.22 | $16.22 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $14.79 / $85.11
| Facility | | $14.79 | $14.79 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $69.18
| Professional | | $15.49 | $15.49 | $69.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $18.20 / $50.12
| Facility | | $14.13 | $18.20 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $23.44
| Professional | | $16.22 | $16.22 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $16.98
| Facility | | $16.22 | $16.22 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $16.60
| Professional | | $16.22 | $16.22 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.89 / $50,118.72 / $75,857.76
| Facility | | $20.89 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $23.44
| Professional | | $15.49 | $15.49 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $18.62
| Facility | | $16.22 | $16.22 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $16.22 / $19.50
| Professional | | $15.14 | $16.22 | $19.50 |