- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.78 / $24.16 / $70.58
| Facility | | $9.78 | $24.16 | $70.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $11.30 / $12.56
| Professional | | $7.77 | $11.30 | $12.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $6.22 / $7.77
| Professional | | $6.22 | $6.22 | $7.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.05 / $42.73 / $77.56
| Facility | | $16.05 | $42.73 | $77.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.86 / $11.53
| Professional | | $5.00 | $6.86 | $11.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.95 / $21.37 / $77.53
| Facility | | $12.95 | $21.37 | $77.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.71 / $12.95 / $20.72
| Professional | | $9.71 | $12.95 | $20.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.95 / $13.15 / $13.15
| Facility | | $12.95 | $13.15 | $13.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.05 / $28.46 / $64.77
| Facility | | $9.05 | $28.46 | $64.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $9.39 / $21.88
| Professional | | $6.86 | $9.39 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $80.00 / $80.00
| Facility | | $55.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.36 / $12.95 / $16.84
| Facility | | $10.36 | $12.95 | $16.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $12.95 / $16.87
| Professional | | $11.66 | $12.95 | $16.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.36 / $12.95 / $32.44
| Facility | | $10.36 | $12.95 | $32.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $9.97 / $18.71
| Professional | | $6.86 | $9.97 | $18.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $7.46 / $11.55
| Professional | | $5.44 | $7.46 | $11.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $6.39 / $12.95
| Professional | | $5.05 | $6.39 | $12.95 |