- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.54 / $22.58 / $37.85
| Facility | | $11.54 | $22.58 | $37.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $11.29 / $14.38
| Professional | | $9.86 | $11.29 | $14.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.28 / $13.28 / $34.53
| Facility | | $13.28 | $13.28 | $34.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.56 / $8.10 / $27.76
| Professional | | $6.56 | $8.10 | $27.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.97 / $13.28 / $13.28
| Facility | | $7.97 | $13.28 | $13.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $13.28 / $13.28
| Professional | | $9.69 | $13.28 | $13.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.27 / $26.86 / $34.40
| Facility | | $9.27 | $26.86 | $34.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.98 / $12.73 / $64.01
| Professional | | $9.98 | $12.73 | $64.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.00 / $19.92 / $332.00
| Facility | | $12.00 | $19.92 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.07 / $7.97 / $24.30
| Professional | | $6.07 | $7.97 | $24.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.61 / $10.61 / $10.61
| Facility | | $10.61 | $10.61 | $10.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.61 / $12.62 / $16.36
| Professional | | $10.61 | $12.62 | $16.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $32.36 / $254.50
| Facility | | $13.73 | $32.36 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.65 / $13.55 / $27.11
| Professional | | $10.65 | $13.55 | $27.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $7.97 / $19.50
| Professional | | $5.58 | $7.97 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.27 / $15.27 / $26.50
| Facility | | $15.27 | $15.27 | $26.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.95 / $13.92 / $18.29
| Professional | | $10.95 | $13.92 | $18.29 |