- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.20 / $35.02 / $102.30
| Facility | | $14.20 | $35.02 | $102.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.51 / $12.05 / $22.52
| Professional | | $10.51 | $12.05 | $22.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.26 / $11.26 / $11.73
| Professional | | $11.26 | $11.26 | $11.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.21 / $55.00 / $98.17
| Facility | | $21.21 | $55.00 | $98.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $9.94 / $16.89
| Professional | | $5.00 | $9.94 | $16.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.77 / $28.16 / $74.73
| Facility | | $18.77 | $28.16 | $74.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.14 / $18.75 / $28.16
| Professional | | $13.14 | $18.75 | $28.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.34 / $18.77 / $18.77
| Facility | | $15.34 | $18.77 | $18.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.12 / $30.99 / $82.51
| Facility | | $13.12 | $30.99 | $82.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $9.88 / $28.40
| Professional | | $8.59 | $9.88 | $28.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $89.16 / $100.00
| Facility | | $55.00 | $89.16 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.67 / $18.77 / $22.52
| Facility | | $13.67 | $18.77 | $22.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.89 / $18.77 / $18.77
| Professional | | $16.89 | $18.77 | $18.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.56 / $18.77 / $42.83
| Facility | | $13.56 | $18.77 | $42.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $11.16 / $19.23
| Professional | | $8.59 | $11.16 | $19.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $7.88 / $13.95
| Professional | | $7.61 | $7.88 | $13.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.32 / $7.51 / $18.77
| Professional | | $7.32 | $7.51 | $18.77 |