- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.13 / $20.86 / $41.60
| Facility | | $10.13 | $20.86 | $41.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.85 / $10.64 / $11.92
| Professional | | $8.85 | $10.64 | $11.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.92 / $11.92 / $30.99
| Facility | | $11.92 | $11.92 | $30.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $7.21 / $26.91
| Professional | | $5.69 | $7.21 | $26.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.15 / $11.92 / $11.92
| Facility | | $7.15 | $11.92 | $11.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $11.92 / $11.92
| Professional | | $8.69 | $11.92 | $11.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.33 / $24.03 / $122.78
| Facility | | $8.33 | $24.03 | $122.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $13.52 / $77.12
| Professional | | $8.89 | $13.52 | $77.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $17.47 / $332.00
| Facility | | $10.10 | $17.47 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $7.15 / $21.81
| Professional | | $4.76 | $7.15 | $21.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.13 / $11.92 / $15.83
| Professional | | $10.13 | $11.92 | $15.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.29 / $23.29 / $23.29
| Facility | | $23.29 | $23.29 | $23.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $28.95 / $160.97
| Facility | | $13.73 | $28.95 | $160.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $13.75 / $24.56
| Professional | | $9.49 | $13.75 | $24.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.84 / $17.51
| Professional | | $5.01 | $6.84 | $17.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.71 / $13.71 / $43.92
| Facility | | $13.71 | $13.71 | $43.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.51 / $13.33 / $22.01
| Professional | | $10.51 | $13.33 | $22.01 |