- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.34 / $26.82 / $48.08
| Facility | | $14.34 | $26.82 | $48.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.70 / $15.18 / $19.69
| Professional | | $10.70 | $15.18 | $19.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.87 / $16.87 / $43.86
| Facility | | $16.87 | $16.87 | $43.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.77 / $9.25 / $31.98
| Professional | | $6.77 | $9.25 | $31.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $16.87 / $16.87
| Facility | | $10.11 | $16.87 | $16.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.32 / $16.87 / $16.87
| Professional | | $12.32 | $16.87 | $16.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.79 / $33.90 / $154.88
| Facility | | $11.79 | $33.90 | $154.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.58 / $18.98 / $106.51
| Professional | | $12.58 | $18.98 | $106.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.60 / $23.62 / $332.00
| Facility | | $11.60 | $23.62 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.71 / $10.11 / $30.87
| Professional | | $7.71 | $10.11 | $30.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.09 / $16.09 / $16.09
| Facility | | $16.09 | $16.09 | $16.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $16.09 / $20.28
| Professional | | $9.94 | $16.09 | $20.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.46 / $40.86 / $227.76
| Facility | | $16.46 | $40.86 | $227.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.36 / $14.71 / $34.75
| Professional | | $4.36 | $14.71 | $34.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $10.11 / $25.31
| Professional | | $7.09 | $10.11 | $25.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.39 / $19.39 / $52.82
| Facility | | $19.39 | $19.39 | $52.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.65 / $16.20 / $20.55
| Professional | | $9.65 | $16.20 | $20.55 |