- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.30 / $46.78 / $97.47
| Facility | | $21.30 | $46.78 | $97.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.39 / $21.53 / $35.65
| Professional | | $12.39 | $21.53 | $35.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.33 / $302.92 / $648.57
| Facility | | $22.33 | $302.92 | $648.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.64 / $23.12 / $8,639.91
| Facility | | $19.64 | $23.12 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.12 / $22.12 / $22.12
| Professional | | $22.12 | $22.12 | $22.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.11 / $21.31 / $21.31
| Facility | | $20.11 | $21.31 | $21.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.31 / $21.31 / $21.31
| Professional | | $21.31 | $21.31 | $21.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.95 / $29.18 / $60.27
| Facility | | $15.95 | $29.18 | $60.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.33 / $26.24 / $622.70
| Facility | | $22.33 | $26.24 | $622.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.41 / $47.35 / $117.95
| Facility | | $21.41 | $47.35 | $117.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.26 / $21.53 / $54.70
| Professional | | $13.26 | $21.53 | $54.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.11 / $21.31 / $21.31
| Facility | | $20.11 | $21.31 | $21.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.31 / $21.31 / $21.31
| Professional | | $21.31 | $21.31 | $21.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.88 / $17.88 / $20.75
| Facility | | $17.88 | $17.88 | $20.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.88 / $17.88 / $20.75
| Professional | | $17.88 | $17.88 | $20.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.31 / $21.31 / $29.43
| Professional | | $21.31 | $21.31 | $29.43 |