- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.06 / $21.04 / $36.34
| Facility | | $11.06 | $21.04 | $36.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.64 / $10.49 / $16.26
| Professional | | $8.64 | $10.49 | $16.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.75 / $12.75 / $33.15
| Facility | | $12.75 | $12.75 | $33.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.55 / $7.32 / $26.61
| Professional | | $5.55 | $7.32 | $26.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.65 / $12.75 / $12.75
| Facility | | $7.65 | $12.75 | $12.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.31 / $12.75 / $12.75
| Professional | | $9.31 | $12.75 | $12.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $26.94 / $119.83
| Facility | | $8.91 | $26.94 | $119.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $13.15 / $75.28
| Professional | | $8.68 | $13.15 | $75.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.75 / $20.96 / $332.00
| Facility | | $12.75 | $20.96 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $7.65 / $23.33
| Professional | | $5.09 | $7.65 | $23.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.52 / $12.75 / $15.32
| Professional | | $10.52 | $12.75 | $15.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.93 / $8.93 / $8.93
| Professional | | $8.93 | $8.93 | $8.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $31.50 / $157.11
| Facility | | $13.73 | $31.50 | $157.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $15.99 / $25.44
| Professional | | $9.28 | $15.99 | $25.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $7.01 / $19.32
| Professional | | $5.36 | $7.01 | $19.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.66 / $14.66 / $42.88
| Facility | | $14.66 | $14.66 | $42.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.52 / $13.62 / $15.45
| Professional | | $10.52 | $13.62 | $15.45 |