- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.13 / $18.26 / $30.61
| Facility | | $9.13 | $18.26 | $30.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.41 / $9.13 / $10.95
| Professional | | $6.41 | $9.13 | $10.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $10.74 / $27.92
| Facility | | $10.74 | $10.74 | $27.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.30 / $6.21 / $21.88
| Professional | | $4.30 | $6.21 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.44 / $10.74 / $10.74
| Facility | | $6.44 | $10.74 | $10.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.84 / $10.74 / $10.74
| Professional | | $7.84 | $10.74 | $10.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $21.90 / $92.89
| Facility | | $7.51 | $21.90 | $92.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $12.05 / $69.77
| Professional | | $8.02 | $12.05 | $69.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $15.04 / $332.00
| Facility | | $8.60 | $15.04 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.30 / $6.44 / $19.64
| Professional | | $4.30 | $6.44 | $19.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.13 / $10.31 / $12.91
| Professional | | $9.13 | $10.31 | $12.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.12 / $26.39 / $145.28
| Facility | | $13.12 | $26.39 | $145.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.50 / $11.88 / $22.12
| Professional | | $8.50 | $11.88 | $22.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.67 / $9.67 / $10.74
| Facility | | $9.67 | $9.67 | $10.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $6.16 / $16.28
| Professional | | $4.51 | $6.16 | $16.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.35 / $12.35 / $39.60
| Facility | | $12.35 | $12.35 | $39.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $11.26 / $14.26
| Professional | | $9.47 | $11.26 | $14.26 |