- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.64 / $46.46 / $200.27
| Facility | | $11.64 | $46.46 | $200.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $13.26 / $26.08
| Professional | | $9.19 | $13.26 | $26.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $10.64 / $10.64
| Professional | | $9.19 | $10.64 | $10.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.14 / $51.08 / $91.77
| Facility | | $19.14 | $51.08 | $91.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.11 / $13.63
| Professional | | $5.00 | $8.11 | $13.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $15.28 / $22.98
| Professional | | $10.72 | $15.28 | $22.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.32 / $30.03 / $30.03
| Facility | | $15.32 | $30.03 | $30.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.70 / $33.47 / $67.95
| Facility | | $10.70 | $33.47 | $67.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $11.29 / $23.24
| Professional | | $8.11 | $11.29 | $23.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.28 / $127.51 / $127.51
| Facility | | $100.28 | $127.51 | $127.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.26 / $15.32 / $21.21
| Facility | | $12.26 | $15.32 | $21.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.79 / $15.32 / $19.97
| Professional | | $13.79 | $15.32 | $19.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.26 / $15.32 / $42.31
| Facility | | $12.26 | $15.32 | $42.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $11.92 / $22.13
| Professional | | $8.11 | $11.92 | $22.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.36 / $11.33 / $19.14
| Facility | | $5.36 | $11.33 | $19.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $8.83 / $14.46
| Professional | | $6.43 | $8.83 | $14.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.97 / $7.57 / $15.32
| Professional | | $5.97 | $7.57 | $15.32 |