- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.38 / $27.36 / $42.09
| Facility | | $11.38 | $27.36 | $42.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.38 / $12.50 / $14.71
| Professional | | $9.38 | $12.50 | $14.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.71 / $14.71 / $38.25
| Facility | | $14.71 | $14.71 | $38.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.09 / $8.82 / $31.04
| Professional | | $6.09 | $8.82 | $31.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.83 / $14.71 / $14.71
| Facility | | $8.83 | $14.71 | $14.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $14.71 / $14.71
| Professional | | $10.74 | $14.71 | $14.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.28 / $29.67 / $135.80
| Facility | | $10.28 | $29.67 | $135.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $16.44 / $93.66
| Professional | | $10.84 | $16.44 | $93.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.60 / $21.80 / $332.00
| Facility | | $12.60 | $21.80 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $8.83 / $26.92
| Professional | | $6.72 | $8.83 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.71 / $14.71 / $14.71
| Facility | | $14.71 | $14.71 | $14.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.96 / $14.71 / $19.52
| Professional | | $12.96 | $14.71 | $19.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.34 / $35.75 / $196.36
| Facility | | $14.34 | $35.75 | $196.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $17.37 / $31.83
| Professional | | $11.66 | $17.37 | $31.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $8.83 / $21.61
| Professional | | $6.18 | $8.83 | $21.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.92 / $16.92 / $54.17
| Facility | | $16.92 | $16.92 | $54.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.96 / $16.52 / $25.48
| Professional | | $12.96 | $16.52 | $25.48 |