- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.97 / $21.30 / $36.79
| Facility | | $10.97 | $21.30 | $36.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.22 / $10.68 / $12.91
| Professional | | $8.22 | $10.68 | $12.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.91 / $12.91 / $33.57
| Facility | | $12.91 | $12.91 | $33.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $7.41 / $26.74
| Professional | | $5.28 | $7.41 | $26.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.75 / $12.91 / $12.91
| Facility | | $7.75 | $12.91 | $12.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.42 / $12.91 / $12.91
| Professional | | $9.42 | $12.91 | $12.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $26.15 / $118.90
| Facility | | $9.02 | $26.15 | $118.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $13.15 / $62.23
| Professional | | $8.89 | $13.15 | $62.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.60 / $18.07 / $332.00
| Facility | | $9.60 | $18.07 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.90 / $7.75 / $23.63
| Professional | | $5.90 | $7.75 | $23.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.91 / $12.91 / $12.91
| Facility | | $12.91 | $12.91 | $12.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $12.91 / $15.52
| Professional | | $10.56 | $12.91 | $15.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $31.50 / $160.97
| Facility | | $13.73 | $31.50 | $160.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $15.21 / $25.87
| Professional | | $9.49 | $15.21 | $25.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $7.35 / $18.96
| Professional | | $5.42 | $7.35 | $18.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.85 / $14.85 / $41.82
| Facility | | $14.85 | $14.85 | $41.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.26 / $13.40 / $16.64
| Professional | | $10.26 | $13.40 | $16.64 |