- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.41 / $26.04 / $44.97
| Facility | | $13.41 | $26.04 | $44.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $12.98 / $15.78
| Professional | | $8.71 | $12.98 | $15.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.78 / $15.78 / $41.03
| Facility | | $15.78 | $15.78 | $41.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.94 / $8.41 / $29.70
| Professional | | $5.94 | $8.41 | $29.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.47 / $15.78 / $15.78
| Facility | | $9.47 | $15.78 | $15.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.52 / $15.78 / $15.78
| Professional | | $11.52 | $15.78 | $15.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.03 / $31.79 / $126.10
| Facility | | $11.03 | $31.79 | $126.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $16.44 / $93.66
| Professional | | $10.84 | $16.44 | $93.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.00 / $22.49 / $332.00
| Facility | | $13.00 | $22.49 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.21 / $9.47 / $28.88
| Professional | | $7.21 | $9.47 | $28.88 |
- 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 / $13.99 / $18.97
| Professional | | $10.61 | $13.99 | $18.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.39 / $38.29 / $196.36
| Facility | | $15.39 | $38.29 | $196.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $18.17 / $32.21
| Professional | | $11.66 | $18.17 | $32.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.63 / $9.47 / $23.18
| Professional | | $6.63 | $9.47 | $23.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.14 / $18.14 / $68.69
| Facility | | $18.14 | $18.14 | $68.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.15 / $16.36 / $19.32
| Professional | | $13.15 | $16.36 | $19.32 |