- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $44.67 / $281.84
| Facility | | $12.88 | $44.67 | $281.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $13.49 / $56.23
| Professional | | $10.96 | $13.49 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.28 / $107.15 / $5,011.87
| Facility | | $81.28 | $107.15 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $14.79
| Professional | | $12.02 | $12.02 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $23.44 / $52.48
| Facility | | $10.23 | $23.44 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $17.38 / $26.92
| Professional | | $9.33 | $17.38 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $14.79 / $22.39
| Professional | | $7.24 | $14.79 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $15.49
| Facility | | $15.49 | $15.49 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $16.98 / $26.30
| Professional | | $15.14 | $16.98 | $26.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $32.36 / $85.11
| Facility | | $19.95 | $32.36 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $9.12 / $10.23
| Professional | | $9.12 | $9.12 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $44.67 / $281.84
| Facility | | $12.88 | $44.67 | $281.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $15.14 / $56.23
| Professional | | $10.96 | $15.14 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $18.20 / $20.42
| Facility | | $15.49 | $18.20 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $18.20 / $20.42
| Professional | | $13.18 | $18.20 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $15.49 / $18.20
| Facility | | $10.23 | $15.49 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $11.22 / $28.84
| Professional | | $6.92 | $11.22 | $28.84 |