- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.87 / $28.86 / $56.84
| Facility | | $14.87 | $28.86 | $56.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $8.64 / $17.48
| Professional | | $4.32 | $8.64 | $17.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.48 / $17.48 / $45.47
| Facility | | $17.48 | $17.48 | $45.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $7.00 / $23.42
| Professional | | $3.21 | $7.00 | $23.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.49 / $17.48 / $17.48
| Facility | | $10.49 | $17.48 | $17.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.77 / $17.48 / $17.48
| Professional | | $12.77 | $17.48 | $17.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.22 / $35.33 / $62.53
| Facility | | $12.22 | $35.33 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.36 / $17.53 / $84.30
| Professional | | $7.36 | $17.53 | $84.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.50 / $22.74 / $332.00
| Facility | | $7.50 | $22.74 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.90 / $10.40 / $32.01
| Professional | | $7.90 | $10.40 | $32.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.90 / $7.90 / $7.90
| Facility | | $7.90 | $7.90 | $7.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.90 / $10.70 / $18.34
| Professional | | $7.90 | $10.70 | $18.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.03 / $42.57 / $192.38
| Facility | | $16.03 | $42.57 | $192.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $8.41 / $27.11
| Professional | | $5.58 | $8.41 | $27.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $7.87 / $30.94
| Professional | | $4.76 | $7.87 | $30.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.11 / $20.11 / $35.27
| Facility | | $20.11 | $20.11 | $35.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.65 / $12.70 / $21.02
| Professional | | $8.65 | $12.70 | $21.02 |