- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.08 / $22.42 / $59.74
| Facility | | $9.08 | $22.42 | $59.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.21 / $11.75 / $32.13
| Professional | | $7.21 | $11.75 | $32.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $5.76 / $8.34
| Professional | | $5.76 | $5.76 | $8.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.57 / $38.67 / $67.38
| Facility | | $13.57 | $38.67 | $67.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.37 / $10.69
| Professional | | $5.00 | $6.37 | $10.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $11.33 / $18.02
| Professional | | $8.41 | $11.33 | $18.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.42 / $12.01 / $12.01
| Facility | | $9.42 | $12.01 | $12.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.40 / $26.40 / $60.83
| Facility | | $8.40 | $26.40 | $60.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $8.85 / $20.23
| Professional | | $6.37 | $8.85 | $20.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $78.00
| Facility | | $55.00 | $70.00 | $78.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.61 / $12.01 / $15.61
| Facility | | $9.61 | $12.01 | $15.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.81 / $12.01 / $15.65
| Professional | | $10.81 | $12.01 | $15.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.30 / $470.01 / $1,189.32
| Facility | | $363.30 | $470.01 | $1,189.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.61 / $12.01 / $28.17
| Facility | | $9.61 | $12.01 | $28.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $9.25 / $17.35
| Professional | | $6.37 | $9.25 | $17.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $6.87 / $8.57
| Professional | | $5.04 | $6.87 | $8.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $5.93 / $12.01
| Professional | | $4.68 | $5.93 | $12.01 |