- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.41 / $25.55 / $55.86
| Facility | | $12.41 | $25.55 | $55.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $12.41 / $14.60
| Professional | | $10.84 | $12.41 | $14.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.60 / $14.60 / $37.96
| Facility | | $14.60 | $14.60 | $37.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.96 / $8.83 / $32.96
| Professional | | $6.96 | $8.83 | $32.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.76 / $14.60 / $14.60
| Facility | | $8.76 | $14.60 | $14.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.66 / $14.60 / $14.60
| Professional | | $10.66 | $14.60 | $14.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $29.67 / $149.77
| Facility | | $10.19 | $29.67 | $149.77 |
- 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
- $10.60 / $20.44 / $332.00
| Facility | | $10.60 | $20.44 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.67 / $8.76 / $26.72
| Professional | | $6.67 | $8.76 | $26.72 |
- 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 / $13.87 / $19.37
| Professional | | $10.61 | $13.87 | $19.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.24 / $35.75 / $196.36
| Facility | | $14.24 | $35.75 | $196.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $18.00 / $30.08
| Professional | | $11.66 | $18.00 | $30.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $8.76 / $23.87
| Professional | | $6.13 | $8.76 | $23.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.79 / $16.79 / $53.74
| Facility | | $16.79 | $16.79 | $53.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.86 / $15.80 / $22.01
| Professional | | $12.86 | $15.80 | $22.01 |