- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.17 / $53.31 / $135.97
| Facility | | $11.17 | $53.31 | $135.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $13.17 / $17.73
| Professional | | $8.86 | $13.17 | $17.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $8.86 / $10.27
| Professional | | $7.09 | $8.86 | $10.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.52 / $45.63 / $85.28
| Facility | | $15.52 | $45.63 | $85.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.83 / $13.30
| Professional | | $5.00 | $7.83 | $13.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.78 / $23.65 / $53.64
| Facility | | $14.78 | $23.65 | $53.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.09 / $14.00 / $23.49
| Professional | | $11.09 | $14.00 | $23.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.48 / $14.48 / $14.78
| Facility | | $14.48 | $14.48 | $14.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.32 / $32.47 / $75.36
| Facility | | $10.32 | $32.47 | $75.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $10.83 / $25.17
| Professional | | $7.83 | $10.83 | $25.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.00 / $70.77 / $100.00
| Facility | | $62.00 | $70.77 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.09 / $14.78 / $20.10
| Facility | | $11.09 | $14.78 | $20.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.30 / $14.78 / $19.27
| Professional | | $13.30 | $14.78 | $19.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.53 / $14.78 / $35.40
| Facility | | $11.53 | $14.78 | $35.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $11.38 / $21.37
| Professional | | $7.83 | $11.38 | $21.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.21 / $8.52 / $12.60
| Professional | | $6.21 | $8.52 | $12.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $7.30 / $14.78
| Professional | | $5.76 | $7.30 | $14.78 |