- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.18 / $54.20 / $300.44
| Facility | | $12.18 | $54.20 | $300.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.58 / $11.51 / $23.64
| Professional | | $7.58 | $11.51 | $23.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $8.11 / $9.41
| Professional | | $6.50 | $8.11 | $9.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.11 / $43.46 / $81.09
| Facility | | $16.11 | $43.46 | $81.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.18 / $9.07
| Professional | | $5.00 | $7.18 | $9.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.86 / $19.63 / $30.47
| Facility | | $12.86 | $19.63 | $30.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.48 / $13.54 / $20.32
| Professional | | $9.48 | $13.54 | $20.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.54 / $14.22 / $14.22
| Facility | | $13.54 | $14.22 | $14.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.46 / $29.74 / $68.75
| Facility | | $9.46 | $29.74 | $68.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.18 / $9.93 / $22.98
| Professional | | $7.18 | $9.93 | $22.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.19 / $108.80 / $108.80
| Facility | | $77.19 | $108.80 | $108.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.83 / $13.54 / $20.21
| Facility | | $10.83 | $13.54 | $20.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.19 / $13.54 / $16.80
| Professional | | $12.19 | $13.54 | $16.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.83 / $13.54 / $34.07
| Facility | | $10.83 | $13.54 | $34.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.18 / $10.43 / $19.57
| Professional | | $7.18 | $10.43 | $19.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $7.80 / $11.06
| Professional | | $5.69 | $7.80 | $11.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $6.69 / $13.54
| Professional | | $5.28 | $6.69 | $13.54 |