- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.02 / $59.61 / $190.84
| Facility | | $11.02 | $59.61 | $190.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $12.68 / $24.76
| Professional | | $8.74 | $12.68 | $24.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.99 / $8.74 / $10.11
| Professional | | $6.99 | $8.74 | $10.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.34 / $46.62 / $87.27
| Facility | | $17.34 | $46.62 | $87.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.72 / $14.28
| Professional | | $5.00 | $7.72 | $14.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.57 / $16.76 / $32.78
| Facility | | $14.57 | $16.76 | $32.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.93 / $14.57 / $21.86
| Professional | | $10.93 | $14.57 | $21.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.42 / $14.42 / $14.57
| Facility | | $14.42 | $14.42 | $14.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $32.01 / $74.04
| Facility | | $10.18 | $32.01 | $74.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $10.65 / $24.62
| Professional | | $7.72 | $10.65 | $24.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.16 / $75.23 / $75.23
| Facility | | $59.16 | $75.23 | $75.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.66 / $14.57 / $21.47
| Facility | | $11.66 | $14.57 | $21.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.11 / $14.57 / $18.98
| Professional | | $13.11 | $14.57 | $18.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.66 / $14.57 / $36.50
| Facility | | $11.66 | $14.57 | $36.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $11.22 / $21.03
| Professional | | $7.72 | $11.22 | $21.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $8.39 / $12.51
| Professional | | $6.12 | $8.39 | $12.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.68 / $7.19 / $14.57
| Professional | | $5.68 | $7.19 | $14.57 |