- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.84 / $16.14 / $16.46
| Facility | | $15.84 | $16.14 | $16.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.91 / $16.46 / $26.71
| Professional | | $14.91 | $16.46 | $26.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.88 / $16.88 / $21.12
| Professional | | $16.88 | $16.88 | $21.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.47 / $35.47 / $35.47
| Facility | | $35.47 | $35.47 | $35.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.58 / $23.58 / $23.58
| Facility | | $23.58 | $23.58 | $23.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.21 / $17.21 / $23.58
| Professional | | $17.21 | $17.21 | $23.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $164.13 / $164.13
| Facility | | $80.00 | $164.13 | $164.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.29 / $177.29 / $258.00
| Professional | | $177.29 | $177.29 | $258.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.14 / $23.69 / $35.47
| Facility | | $10.14 | $23.69 | $35.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.14 / $31.92 / $35.47
| Professional | | $10.14 | $31.92 | $35.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.14 / $36.18 / $79.81
| Professional | | $27.14 | $36.18 | $79.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.14 / $23.58 / $35.47
| Facility | | $10.14 | $23.58 | $35.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.21 / $17.21 / $25.14
| Professional | | $17.21 | $17.21 | $25.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.07 / $15.57 / $18.32
| Facility | | $12.07 | $15.57 | $18.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.09 / $18.68 / $22.54
| Professional | | $13.09 | $18.68 | $22.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.86 / $19.17 / $35.47
| Professional | | $18.86 | $19.17 | $35.47 |