- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.44 / $61.58 / $202.50
| Facility | | $11.44 | $61.58 | $202.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $13.12 / $40.95
| Professional | | $9.02 | $13.12 | $40.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $9.02 / $10.46
| Professional | | $7.22 | $9.02 | $10.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.55 / $48.01 / $84.43
| Facility | | $16.55 | $48.01 | $84.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.98 / $13.15
| Professional | | $5.00 | $7.98 | $13.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.05 / $23.33 / $48.97
| Facility | | $15.05 | $23.33 | $48.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.29 / $14.93 / $22.58
| Professional | | $11.29 | $14.93 | $22.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.75 / $14.75 / $15.05
| Facility | | $14.75 | $14.75 | $15.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.52 / $33.06 / $76.67
| Facility | | $10.52 | $33.06 | $76.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.98 / $11.01 / $25.17
| Professional | | $7.98 | $11.01 | $25.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.00 / $75.65 / $75.65
| Facility | | $63.00 | $75.65 | $75.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.29 / $15.05 / $20.47
| Facility | | $11.29 | $15.05 | $20.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.55 / $15.05 / $19.62
| Professional | | $13.55 | $15.05 | $19.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.74 / $15.05 / $35.40
| Facility | | $11.74 | $15.05 | $35.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.98 / $11.59 / $21.76
| Professional | | $7.98 | $11.59 | $21.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.32 / $8.61 / $10.09
| Professional | | $6.32 | $8.61 | $10.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.87 / $7.44 / $15.05
| Professional | | $5.87 | $7.44 | $15.05 |