- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.96 / $22.52 / $36.68
| Facility | | $9.96 | $22.52 | $36.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $11.21 / $12.87
| Professional | | $4.32 | $11.21 | $12.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.87 / $12.87 / $33.46
| Facility | | $12.87 | $12.87 | $33.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $6.36 / $19.75
| Professional | | $3.21 | $6.36 | $19.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.72 / $12.87 / $12.87
| Facility | | $7.72 | $12.87 | $12.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.40 / $12.87 / $12.87
| Professional | | $9.40 | $12.87 | $12.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $27.20 / $62.53
| Facility | | $9.00 | $27.20 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.53 / $14.61 / $82.64
| Professional | | $9.53 | $14.61 | $82.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $16.73 / $332.00
| Facility | | $6.50 | $16.73 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.88 / $7.72 / $23.55
| Professional | | $5.88 | $7.72 | $23.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $8.11 / $8.11
| Facility | | $8.11 | $8.11 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $10.94 / $14.45
| Professional | | $8.11 | $10.94 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $31.50 / $172.81
| Facility | | $13.73 | $31.50 | $172.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $10.52 / $26.51
| Professional | | $5.48 | $10.52 | $26.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $5.79 / $19.30
| Professional | | $4.63 | $5.79 | $19.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.80 / $14.80 / $35.95
| Facility | | $14.80 | $14.80 | $35.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $12.36 / $15.47
| Professional | | $8.82 | $12.36 | $15.47 |