- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.14 / $59.47 / $233.40
| Facility | | $12.14 | $59.47 | $233.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $29.16 / $43.74
| Professional | | $9.64 | $29.16 | $43.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.71 / $7.71 / $11.16
| Professional | | $7.71 | $7.71 | $11.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.23 / $50.78 / $91.12
| Facility | | $17.23 | $50.78 | $91.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.52 / $14.03
| Professional | | $5.00 | $8.52 | $14.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.25 / $15.97 / $24.11
| Professional | | $11.25 | $15.97 | $24.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.07 / $31.50 / $31.50
| Facility | | $16.07 | $31.50 | $31.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.23 / $35.11 / $70.95
| Facility | | $11.23 | $35.11 | $70.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $11.90 / $24.26
| Professional | | $8.52 | $11.90 | $24.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.62 / $201.69 / $201.69
| Facility | | $158.62 | $201.69 | $201.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $16.07 / $20.09
| Facility | | $12.05 | $16.07 | $20.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.46 / $16.07 / $20.94
| Professional | | $14.46 | $16.07 | $20.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.53 / $16.07 / $37.25
| Facility | | $12.53 | $16.07 | $37.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $12.37 / $23.02
| Professional | | $8.52 | $12.37 | $23.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.66 / $16.07 / $26.45
| Facility | | $9.66 | $16.07 | $26.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $9.26 / $10.76
| Professional | | $6.75 | $9.26 | $10.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.27 / $7.94 / $16.07
| Professional | | $6.27 | $7.94 | $16.07 |