- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.85 / $32.70 / $56.49
| Facility | | $16.85 | $32.70 | $56.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.81 / $14.35 / $19.82
| Professional | | $11.81 | $14.35 | $19.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.82 / $19.82 / $51.53
| Facility | | $19.82 | $19.82 | $51.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $10.67 / $36.79
| Professional | | $7.74 | $10.67 | $36.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.89 / $19.82 / $19.82
| Facility | | $11.89 | $19.82 | $19.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.47 / $19.82 / $19.82
| Professional | | $14.47 | $19.82 | $19.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.85 / $41.69 / $164.77
| Facility | | $13.85 | $41.69 | $164.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.93 / $20.09 / $100.99
| Professional | | $11.93 | $20.09 | $100.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.60 / $27.75 / $332.00
| Facility | | $13.60 | $27.75 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.93 / $11.89 / $36.27
| Professional | | $7.93 | $11.89 | $36.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.37 / $18.82 / $22.39
| Professional | | $14.37 | $18.82 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.92 / $48.52 / $216.04
| Facility | | $18.92 | $48.52 | $216.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.65 / $22.72 / $40.83
| Professional | | $12.65 | $22.72 | $40.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.84 / $17.84 / $19.82
| Facility | | $17.84 | $17.84 | $19.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $11.89 / $29.73
| Professional | | $8.32 | $11.89 | $29.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.79 / $22.79 / $58.58
| Facility | | $22.79 | $22.79 | $58.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.37 / $19.82 / $23.82
| Professional | | $14.37 | $19.82 | $23.82 |