- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.15 / $20.86 / $37.39
| Facility | | $11.15 | $20.86 | $37.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $11.44 / $12.39
| Professional | | $4.32 | $11.44 | $12.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.12 / $13.12 / $34.11
| Facility | | $13.12 | $13.12 | $34.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $6.48 / $20.14
| Professional | | $3.21 | $6.48 | $20.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.87 / $13.12 / $13.12
| Facility | | $7.87 | $13.12 | $13.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.58 / $13.12 / $13.12
| Professional | | $9.58 | $13.12 | $13.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.17 / $27.72 / $62.53
| Facility | | $9.17 | $27.72 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.76 / $14.61 / $84.46
| Professional | | $9.76 | $14.61 | $84.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.00 / $17.05 / $332.00
| Facility | | $7.00 | $17.05 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.00 / $7.87 / $24.01
| Professional | | $6.00 | $7.87 | $24.01 |
- 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 / $11.15 / $14.74
| Professional | | $8.11 | $11.15 | $14.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $32.36 / $176.68
| Facility | | $13.73 | $32.36 | $176.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $10.52 / $27.03
| Professional | | $5.48 | $10.52 | $27.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.90 / $19.27
| Professional | | $5.00 | $5.90 | $19.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.09 / $15.09 / $35.95
| Facility | | $15.09 | $15.09 | $35.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $12.60 / $15.77
| Professional | | $8.82 | $12.60 | $15.77 |