- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.13 / $27.04 / $44.03
| Facility | | $13.13 | $27.04 | $44.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.58 / $12.70 / $13.13
| Professional | | $10.58 | $12.70 | $13.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.45 / $15.45 / $40.17
| Facility | | $15.45 | $15.45 | $40.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.69 / $9.02 / $32.59
| Professional | | $6.69 | $9.02 | $32.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.27 / $15.45 / $15.45
| Facility | | $9.27 | $15.45 | $15.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.28 / $15.45 / $15.45
| Professional | | $11.28 | $15.45 | $15.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.79 / $31.10 / $146.72
| Facility | | $10.79 | $31.10 | $146.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $16.07 / $80.78
| Professional | | $10.63 | $16.07 | $80.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $20.09 / $332.00
| Facility | | $8.60 | $20.09 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $9.27 / $28.27
| Professional | | $6.18 | $9.27 | $28.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $15.08 / $18.57
| Professional | | $12.88 | $15.08 | $18.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.53 / $27.53 / $42.42
| Facility | | $27.53 | $27.53 | $42.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.06 / $37.47 / $192.38
| Facility | | $15.06 | $37.47 | $192.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.44 / $16.50 / $31.18
| Professional | | $11.44 | $16.50 | $31.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $9.27 / $24.25
| Professional | | $6.49 | $9.27 | $24.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.77 / $17.77 / $52.49
| Facility | | $17.77 | $17.77 | $52.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $16.20 / $18.91
| Professional | | $12.88 | $16.20 | $18.91 |