- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.76 / $23.10 / $85.92
| Facility | | $9.76 | $23.10 | $85.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $10.96 / $12.51
| Professional | | $7.74 | $10.96 | $12.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $6.19 / $7.74
| Professional | | $4.51 | $6.19 | $7.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.03 / $40.60 / $74.43
| Facility | | $13.03 | $40.60 | $74.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.84 / $10.32
| Professional | | $5.00 | $6.84 | $10.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.90 / $20.00 / $28.49
| Facility | | $12.90 | $20.00 | $28.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $11.61 / $18.05
| Professional | | $9.02 | $11.61 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.90 / $13.16 / $13.16
| Facility | | $12.90 | $13.16 | $13.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $28.36 / $58.78
| Facility | | $9.02 | $28.36 | $58.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.84 / $9.39 / $21.88
| Professional | | $6.84 | $9.39 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $70.00 / $100.00
| Facility | | $50.00 | $70.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.68 / $12.90 / $19.01
| Facility | | $9.68 | $12.90 | $19.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $12.90 / $16.80
| Professional | | $11.61 | $12.90 | $16.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $12.90 / $30.58
| Facility | | $9.80 | $12.90 | $30.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.84 / $9.92 / $18.47
| Professional | | $6.84 | $9.92 | $18.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $7.39 / $11.08
| Professional | | $5.42 | $7.39 | $11.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $6.37 / $12.90
| Professional | | $5.03 | $6.37 | $12.90 |