- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.34 / $23.25 / $37.40
| Facility | | $10.34 | $23.25 | $37.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $11.36 / $13.36
| Professional | | $6.49 | $11.36 | $13.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.36 / $13.36 / $34.74
| Facility | | $13.36 | $13.36 | $34.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $7.42 / $23.64
| Professional | | $4.42 | $7.42 | $23.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $13.36 / $13.36
| Facility | | $8.02 | $13.36 | $13.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.75 / $13.36 / $13.36
| Professional | | $9.75 | $13.36 | $13.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $28.03 / $94.03
| Facility | | $9.33 | $28.03 | $94.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.98 / $14.98 / $75.28
| Professional | | $9.98 | $14.98 | $75.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.10 / $19.20 / $332.00
| Facility | | $11.10 | $19.20 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $8.02 / $24.45
| Professional | | $6.11 | $8.02 | $24.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.52 / $9.52 / $9.52
| Facility | | $9.52 | $9.52 | $9.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.52 / $12.69 / $16.05
| Professional | | $9.52 | $12.69 | $16.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $32.36 / $180.66
| Facility | | $13.73 | $32.36 | $180.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.67 / $15.76 / $27.52
| Professional | | $10.67 | $15.76 | $27.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.61 / $7.67 / $19.62
| Professional | | $5.61 | $7.67 | $19.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.36 / $15.36 / $48.32
| Facility | | $15.36 | $15.36 | $48.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.56 / $14.01 / $17.41
| Professional | | $11.56 | $14.01 | $17.41 |