- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.35 / $19.25 / $48.13
| Facility | | $9.35 | $19.25 | $48.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.28 / $7.63 / $11.00
| Professional | | $6.28 | $7.63 | $11.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.00 / $11.00 / $28.60
| Facility | | $11.00 | $11.00 | $28.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.84 / $5.61 / $20.11
| Professional | | $3.84 | $5.61 | $20.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.60 / $11.00 / $11.00
| Facility | | $6.60 | $11.00 | $11.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $11.00 / $11.00
| Professional | | $8.02 | $11.00 | $11.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.69 / $23.00 / $91.05
| Facility | | $7.69 | $23.00 | $91.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $10.96 / $53.26
| Professional | | $6.50 | $10.96 | $53.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.50 / $15.38 / $332.00
| Facility | | $7.50 | $15.38 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $6.60 / $20.13
| Professional | | $4.40 | $6.60 | $20.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $10.45 / $12.35
| Professional | | $7.65 | $10.45 | $12.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.33 / $7.33 / $7.33
| Facility | | $7.33 | $7.33 | $7.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.54 / $27.25 / $121.73
| Facility | | $13.54 | $27.25 | $121.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $12.80 / $18.51
| Professional | | $6.72 | $12.80 | $18.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.62 / $6.05 / $17.05
| Professional | | $4.62 | $6.05 | $17.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.65 / $12.65 / $31.19
| Facility | | $12.65 | $12.65 | $31.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $11.00 / $13.22
| Professional | | $7.65 | $11.00 | $13.22 |