- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $31.66 / $51.56
| Facility | | $14.79 | $31.66 | $51.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.58 / $9.86 / $15.38
| Professional | | $9.58 | $9.86 | $15.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.09 / $18.09 / $47.03
| Facility | | $18.09 | $18.09 | $47.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $2.11 / $19.82
| Professional | | $2.11 | $2.11 | $19.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.09 / $18.09 / $18.09
| Facility | | $18.09 | $18.09 | $18.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.21 / $18.09 / $18.09
| Professional | | $13.21 | $18.09 | $18.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.64 / $36.74 / $47.08
| Facility | | $12.64 | $36.74 | $47.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.65 / $25.81 / $87.19
| Professional | | $20.65 | $25.81 | $87.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.09 / $37.99 / $332.00
| Facility | | $18.09 | $37.99 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $10.67 / $33.83
| Professional | | $7.24 | $10.67 | $33.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.33 / $17.19 / $20.32
| Professional | | $11.33 | $17.19 | $20.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.64 / $38.22 / $48.44
| Facility | | $17.64 | $38.22 | $48.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.76 / $20.65 / $37.27
| Professional | | $11.76 | $20.65 | $37.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.60 / $10.85 / $27.14
| Professional | | $7.60 | $10.85 | $27.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.09 / $20.80 / $20.80
| Facility | | $18.09 | $20.80 | $20.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.33 / $18.09 / $21.74
| Professional | | $11.33 | $18.09 | $21.74 |