- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.83 / $42.87 / $109.69
| Facility | | $15.83 | $42.87 | $109.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $13.38 / $23.86
| Professional | | $10.16 | $13.38 | $23.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.64 / $18.64 / $48.46
| Facility | | $18.64 | $18.64 | $48.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.73 / $11.27 / $21.56
| Professional | | $6.73 | $11.27 | $21.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.18 / $18.64 / $18.64
| Facility | | $11.18 | $18.64 | $18.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.61 / $18.64 / $18.64
| Professional | | $13.61 | $18.64 | $18.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.03 / $37.46 / $147.13
| Facility | | $13.03 | $37.46 | $147.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.53 / $18.98 / $30.10
| Professional | | $10.53 | $18.98 | $30.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.64 / $30.76 / $332.00
| Facility | | $18.64 | $30.76 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $11.18 / $34.11
| Professional | | $7.46 | $11.18 | $34.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.37 / $16.26 / $20.93
| Professional | | $12.37 | $16.26 | $20.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.82 / $30.60 / $86.33
| Facility | | $14.82 | $30.60 | $86.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.09 / $45.13 / $204.21
| Facility | | $17.09 | $45.13 | $204.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.91 / $18.01 / $30.10
| Professional | | $11.91 | $18.01 | $30.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $11.18 / $27.38
| Professional | | $7.83 | $11.18 | $27.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.44 / $21.44 / $37.15
| Facility | | $21.44 | $21.44 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.37 / $16.82 / $22.40
| Professional | | $12.37 | $16.82 | $22.40 |