- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.95 / $20.18 / $32.86
| Facility | | $10.95 | $20.18 | $32.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.56 / $9.80 / $11.76
| Professional | | $8.56 | $9.80 | $11.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.53 / $11.53 / $29.98
| Facility | | $11.53 | $11.53 | $29.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $6.97 / $26.12
| Professional | | $5.44 | $6.97 | $26.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $11.53 / $11.53
| Facility | | $6.92 | $11.53 | $11.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.42 / $11.53 / $11.53
| Professional | | $8.42 | $11.53 | $11.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.06 / $23.31 / $119.83
| Facility | | $8.06 | $23.31 | $119.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $12.78 / $55.57
| Professional | | $8.68 | $12.78 | $55.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.10 / $16.14 / $332.00
| Facility | | $8.10 | $16.14 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.27 / $6.92 / $21.10
| Professional | | $5.27 | $6.92 | $21.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.53 / $11.53 / $11.53
| Facility | | $11.53 | $11.53 | $11.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $11.53 / $14.87
| Professional | | $10.16 | $11.53 | $14.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $28.09 / $157.11
| Facility | | $13.73 | $28.09 | $157.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $10.03 / $23.75
| Professional | | $6.30 | $10.03 | $23.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.08 / $6.92 / $17.30
| Professional | | $4.08 | $6.92 | $17.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.26 / $13.26 / $37.85
| Facility | | $13.26 | $13.26 | $37.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $12.47 / $15.30
| Professional | | $10.16 | $12.47 | $15.30 |