- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.82 / $39.36 / $70.97
| Facility | | $9.82 | $39.36 | $70.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.79 / $10.51 / $18.17
| Professional | | $7.79 | $10.51 | $18.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.23 / $7.79 / $9.02
| Professional | | $6.23 | $7.79 | $9.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.10 / $42.83 / $78.14
| Facility | | $16.10 | $42.83 | $78.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.88 / $11.34
| Professional | | $5.00 | $6.88 | $11.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.98 / $12.98 / $12.98
| Facility | | $12.98 | $12.98 | $12.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.07 / $28.53 / $66.12
| Facility | | $9.07 | $28.53 | $66.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.88 / $9.68 / $19.61
| Professional | | $6.88 | $9.68 | $19.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.69 / $171.26 / $171.26
| Facility | | $134.69 | $171.26 | $171.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.38 / $12.98 / $16.87
| Facility | | $10.38 | $12.98 | $16.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.68 / $12.98 / $16.92
| Professional | | $11.68 | $12.98 | $16.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.38 / $12.98 / $32.36
| Facility | | $10.38 | $12.98 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.88 / $10.10 / $18.76
| Professional | | $6.88 | $10.10 | $18.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $60.00 / $60.00
| Facility | | $60.00 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.45 / $7.43 / $10.60
| Professional | | $5.45 | $7.43 | $10.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $6.41 / $12.98
| Professional | | $5.05 | $6.41 | $12.98 |