- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.68 / $30.22 / $59.75
| Facility | | $14.68 | $30.22 | $59.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.47 / $14.68 / $23.71
| Professional | | $13.47 | $14.68 | $23.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.27 / $17.27 / $44.90
| Facility | | $17.27 | $17.27 | $44.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $10.36 / $31.57
| Professional | | $6.91 | $10.36 | $31.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.36 / $17.27 / $17.27
| Facility | | $10.36 | $17.27 | $17.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.61 / $17.27 / $17.27
| Professional | | $12.61 | $17.27 | $17.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.07 / $34.63 / $44.36
| Facility | | $12.07 | $34.63 | $44.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $16.46 / $83.24
| Professional | | $9.67 | $16.46 | $83.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.27 / $31.60 / $332.00
| Facility | | $17.27 | $31.60 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $10.28 / $32.29
| Professional | | $6.91 | $10.28 | $32.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $16.41 / $19.54
| Professional | | $10.82 | $16.41 | $19.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.51 / $38.25 / $267.00
| Facility | | $11.51 | $38.25 | $267.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.83 / $41.72 / $254.50
| Facility | | $15.83 | $41.72 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.23 / $16.46 / $26.77
| Professional | | $11.23 | $16.46 | $26.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.25 / $9.50 / $25.36
| Professional | | $7.25 | $9.50 | $25.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.86 / $19.86 / $24.18
| Facility | | $19.86 | $19.86 | $24.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $17.27 / $20.76
| Professional | | $10.82 | $17.27 | $20.76 |