- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.34 / $30.10 / $74.86
| Facility | | $16.34 | $30.10 | $74.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.77 / $14.99 / $16.25
| Professional | | $12.77 | $14.99 | $16.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.20 / $17.20 / $44.72
| Facility | | $17.20 | $17.20 | $44.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.80 / $10.40 / $38.83
| Professional | | $7.80 | $10.40 | $38.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.32 / $17.20 / $17.20
| Facility | | $10.32 | $17.20 | $17.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.56 / $17.20 / $17.20
| Professional | | $12.56 | $17.20 | $17.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $34.63 / $176.75
| Facility | | $12.02 | $34.63 | $176.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.80 / $19.36 / $108.34
| Professional | | $12.80 | $19.36 | $108.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $26.56 / $332.00
| Facility | | $16.60 | $26.56 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.88 / $10.32 / $31.48
| Professional | | $6.88 | $10.32 | $31.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.62 / $17.20 / $22.08
| Professional | | $14.62 | $17.20 | $22.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.45 / $66.45 / $66.45
| Facility | | $66.45 | $66.45 | $66.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.77 / $41.72 / $231.74
| Facility | | $16.77 | $41.72 | $231.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.81 / $23.65 / $55.00
| Professional | | $13.81 | $23.65 | $55.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $10.32 / $26.66
| Professional | | $7.22 | $10.32 | $26.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.78 / $19.78 / $63.38
| Facility | | $19.78 | $19.78 | $63.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.16 / $19.23 / $22.84
| Professional | | $15.16 | $19.23 | $22.84 |