- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.38 / $29.85 / $51.56
| Facility | | $15.38 | $29.85 | $51.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $15.38 / $21.92
| Professional | | $9.61 | $15.38 | $21.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.09 / $18.09 / $47.03
| Facility | | $18.09 | $18.09 | $47.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.24 / $9.69 / $30.92
| Professional | | $6.24 | $9.69 | $30.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.85 / $18.09 / $18.09
| Facility | | $10.85 | $18.09 | $18.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.21 / $18.09 / $18.09
| Professional | | $13.21 | $18.09 | $18.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.64 / $36.74 / $139.19
| Facility | | $12.64 | $36.74 | $139.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.96 / $18.05 / $28.51
| Professional | | $9.96 | $18.05 | $28.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $23.52 / $332.00
| Facility | | $6.50 | $23.52 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $10.76 / $33.10
| Professional | | $7.24 | $10.76 | $33.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.79 / $3.79 / $3.79
| Facility | | $3.79 | $3.79 | $3.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.79 / $12.43 / $20.32
| Professional | | $3.79 | $12.43 | $20.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.57 / $44.27 / $196.36
| Facility | | $16.57 | $44.27 | $196.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $18.73 / $28.51
| Professional | | $10.23 | $18.73 | $28.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.05 / $10.85 / $23.60
| Professional | | $9.05 | $10.85 | $23.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.80 / $20.80 / $47.69
| Facility | | $20.80 | $20.80 | $47.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.60 / $15.38 / $21.74
| Professional | | $8.60 | $15.38 | $21.74 |