- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.42 / $36.84 / $64.47
| Facility | | $18.42 | $36.84 | $64.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.84 / $10.84 / $21.67
| Professional | | $9.84 | $10.84 | $21.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.67 / $21.67 / $56.34
| Facility | | $21.67 | $21.67 | $56.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.67 / $13.11 / $31.79
| Professional | | $8.67 | $13.11 | $31.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.00 / $21.67 / $21.67
| Facility | | $13.00 | $21.67 | $21.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.82 / $21.67 / $21.67
| Professional | | $15.82 | $21.67 | $21.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $43.82 / $56.15
| Facility | | $15.14 | $43.82 | $56.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.88 / $21.92 / $104.45
| Professional | | $9.88 | $21.92 | $104.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.00 / $28.17 / $332.00
| Facility | | $11.00 | $28.17 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.90 / $12.89 / $39.65
| Professional | | $9.90 | $12.89 | $39.65 |
- 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 / $13.55 / $22.72
| Professional | | $10.61 | $13.55 | $22.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.87 / $52.79 / $254.50
| Facility | | $19.87 | $52.79 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $20.71 / $33.59
| Professional | | $10.19 | $20.71 | $33.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.10 / $13.00 / $31.83
| Professional | | $9.10 | $13.00 | $31.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.89 / $24.92 / $28.59
| Facility | | $23.89 | $24.92 | $28.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $16.35 / $26.05
| Professional | | $10.96 | $16.35 | $26.05 |