- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.80 / $20.96 / $36.20
| Facility | | $10.80 | $20.96 | $36.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $9.91 / $14.73
| Professional | | $7.44 | $9.91 | $14.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.70 / $12.70 / $33.02
| Facility | | $12.70 | $12.70 | $33.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.08 / $7.68 / $25.40
| Professional | | $5.08 | $7.68 | $25.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.62 / $12.70 / $12.70
| Facility | | $7.62 | $12.70 | $12.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $12.70 / $12.70
| Professional | | $9.27 | $12.70 | $12.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $25.43 / $104.82
| Facility | | $8.86 | $25.43 | $104.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $12.78 / $62.44
| Professional | | $7.59 | $12.78 | $62.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $16.51 / $332.00
| Facility | | $5.00 | $16.51 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.08 / $7.62 / $23.24
| Professional | | $5.08 | $7.62 | $23.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.06 / $11.92 / $14.26
| Professional | | $9.06 | $11.92 | $14.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $30.64 / $137.43
| Facility | | $13.73 | $30.64 | $137.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $14.46 / $22.18
| Professional | | $8.10 | $14.46 | $22.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.89 / $7.57 / $8.26
| Facility | | $6.89 | $7.57 | $8.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $7.62 / $19.05
| Professional | | $5.33 | $7.62 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.60 / $14.60 / $36.97
| Facility | | $14.60 | $14.60 | $36.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.06 / $12.06 / $15.26
| Professional | | $9.06 | $12.06 | $15.26 |