- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $30.90 / $125.89
| Facility | | $9.77 | $30.90 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.23 / $51.29
| Professional | | $7.94 | $10.23 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $81.28 / $5,011.87
| Facility | | $60.26 | $81.28 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $8.91 / $10.96
| Professional | | $8.91 | $8.91 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $17.38 / $38.90
| Facility | | $7.76 | $17.38 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $12.88 / $20.42
| Professional | | $6.92 | $12.88 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $8.13 / $16.60
| Professional | | $5.37 | $8.13 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $11.48
| Facility | | $11.48 | $11.48 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $12.88 / $19.95
| Professional | | $11.48 | $12.88 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $35.48 / $75.86
| Facility | | $19.50 | $35.48 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $6.92 / $6.92
| Professional | | $6.92 | $6.92 | $6.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $30.20 / $125.89
| Facility | | $10.72 | $30.20 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.96 / $47.86
| Professional | | $7.94 | $10.96 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $14.79 / $19.50
| Facility | | $11.48 | $14.79 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $14.79 / $19.50
| Professional | | $11.48 | $14.79 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $11.48 / $13.80
| Facility | | $7.76 | $11.48 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $7.41 / $19.95
| Professional | | $5.13 | $7.41 | $19.95 |