- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $33.11 / $74.13
| Facility | | $14.13 | $33.11 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.96 / $32.36
| Professional | | $8.91 | $10.96 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $40.74 / $5,011.87
| Facility | | $30.20 | $40.74 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $10.00 / $10.00
| Professional | | $10.00 | $10.00 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $19.95 / $43.65
| Facility | | $8.71 | $19.95 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $14.45 / $22.39
| Professional | | $7.76 | $14.45 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $12.88 / $18.62
| Professional | | $6.03 | $12.88 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $12.88
| Facility | | $12.88 | $12.88 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.91 / $22.39
| Professional | | $6.03 | $8.91 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $38.90 / $85.11
| Facility | | $26.30 | $38.90 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $7.59 / $9.55
| Professional | | $5.50 | $7.59 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $32.36 / $109.65
| Facility | | $14.13 | $32.36 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.02 / $46.77
| Professional | | $8.91 | $12.02 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $11.48 / $16.98
| Facility | | $5.75 | $11.48 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $11.48 / $16.98
| Professional | | $5.75 | $11.48 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $12.88 / $15.49
| Facility | | $8.71 | $12.88 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $7.76 / $17.78
| Professional | | $5.13 | $7.76 | $17.78 |