- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.71 / $45.08 / $101.37
| Facility | | $20.71 | $45.08 | $101.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.72 / $20.92 / $51.27
| Professional | | $20.72 | $20.92 | $51.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.10 / $22.47 / $8,639.91
| Facility | | $19.10 | $22.47 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.50 / $21.50 / $21.50
| Professional | | $21.50 | $21.50 | $21.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.54 / $20.72 / $20.72
| Facility | | $19.54 | $20.72 | $20.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.72 / $20.72 / $20.72
| Professional | | $20.72 | $20.72 | $20.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.95 / $29.38 / $78.73
| Facility | | $11.95 | $29.38 | $78.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.71 / $43.90 / $107.06
| Facility | | $20.71 | $43.90 | $107.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.72 / $22.28 / $67.06
| Professional | | $20.72 | $22.28 | $67.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.54 / $20.72 / $20.72
| Facility | | $19.54 | $20.72 | $20.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.72 / $20.72 / $20.72
| Professional | | $20.72 | $20.72 | $20.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.19 / $20.19 / $23.43
| Facility | | $20.19 | $20.19 | $23.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.19 / $20.19 / $23.43
| Professional | | $20.19 | $20.19 | $23.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.72 / $20.72 / $29.26
| Professional | | $20.72 | $20.72 | $29.26 |