- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.91 / $54.22 / $170.29
| Facility | | $13.91 | $54.22 | $170.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.02 / $9.58 / $13.25
| Professional | | $7.02 | $9.58 | $13.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $7.95 / $9.21
| Professional | | $6.36 | $7.95 | $9.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.58 / $41.61 / $77.70
| Facility | | $14.58 | $41.61 | $77.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.02 / $13.12
| Professional | | $5.00 | $7.02 | $13.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.24 / $20.54 / $86.44
| Facility | | $12.24 | $20.54 | $86.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $13.19 / $19.88
| Professional | | $9.27 | $13.19 | $19.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.25 / $13.25 / $13.25
| Facility | | $13.25 | $13.25 | $13.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $27.66 / $62.39
| Facility | | $9.26 | $27.66 | $62.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.02 / $9.02 / $22.43
| Professional | | $7.02 | $9.02 | $22.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $62.94 / $62.94
| Facility | | $50.00 | $62.94 | $62.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.66 / $13.25 / $14.58
| Facility | | $9.66 | $13.25 | $14.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.93 / $13.25 / $17.27
| Professional | | $11.93 | $13.25 | $17.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.66 / $13.25 / $36.57
| Facility | | $9.66 | $13.25 | $36.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.02 / $10.19 / $18.98
| Professional | | $7.02 | $10.19 | $18.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $7.60 / $10.82
| Professional | | $5.57 | $7.60 | $10.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.17 / $6.54 / $13.25
| Professional | | $5.17 | $6.54 | $13.25 |