- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $24.34 / $66.20
| Facility | | $10.94 | $24.34 | $66.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $11.48 / $46.76
| Professional | | $4.32 | $11.48 | $46.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $33.49
| Facility | | $12.88 | $12.88 | $33.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $6.36 / $19.77
| Professional | | $3.21 | $6.36 | $19.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.73 / $12.88 / $12.88
| Facility | | $7.73 | $12.88 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.40 / $12.88 / $12.88
| Professional | | $9.40 | $12.88 | $12.88 |
- 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
- $5.15 / $7.73 / $23.57
| Professional | | $5.15 | $7.73 | $23.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $12.24 / $14.47
| Professional | | $8.82 | $12.24 | $14.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $34.89 / $183.46
| Facility | | $23.44 | $34.89 | $183.46 |
- 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 / $26.53
| Professional | | $5.48 | $10.52 | $26.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.80 / $18.92
| Professional | | $5.00 | $5.80 | $18.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.81 / $14.81 / $35.95
| Facility | | $14.81 | $14.81 | $35.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $12.88 / $15.48
| Professional | | $8.82 | $12.88 | $15.48 |