- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.09 / $33.13 / $56.32
| Facility | | $16.09 | $33.13 | $56.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.06 / $14.65 / $18.93
| Professional | | $14.06 | $14.65 | $18.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.93 / $18.93 / $49.22
| Facility | | $18.93 | $18.93 | $49.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.03 / $11.45 / $42.88
| Professional | | $9.03 | $11.45 | $42.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.36 / $18.93 / $18.93
| Facility | | $11.36 | $18.93 | $18.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.82 / $18.93 / $18.93
| Professional | | $13.82 | $18.93 | $18.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.23 / $38.15 / $194.71
| Facility | | $13.23 | $38.15 | $194.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.10 / $21.19 / $123.03
| Professional | | $14.10 | $21.19 | $123.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.60 / $26.99 / $332.00
| Facility | | $15.60 | $26.99 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.65 / $11.36 / $34.64
| Professional | | $8.65 | $11.36 | $34.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.93 / $18.93 / $18.93
| Facility | | $18.93 | $18.93 | $18.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.69 / $18.93 / $25.14
| Professional | | $16.69 | $18.93 | $25.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.45 / $45.96 / $254.50
| Facility | | $18.45 | $45.96 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.19 / $26.03 / $80.00
| Professional | | $15.19 | $26.03 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.95 / $11.36 / $28.40
| Professional | | $7.95 | $11.36 | $28.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.77 / $21.77 / $69.75
| Facility | | $21.77 | $21.77 | $69.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.69 / $21.26 / $28.71
| Professional | | $16.69 | $21.26 | $28.71 |