- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.32 / $28.29 / $45.86
| Facility | | $12.32 | $28.29 | $45.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $13.59 / $14.37
| Professional | | $4.32 | $13.59 | $14.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.21 / $15.21 / $39.54
| Facility | | $15.21 | $15.21 | $39.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.27 / $7.51 / $21.68
| Professional | | $3.27 | $7.51 | $21.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.13 / $15.21 / $15.21
| Facility | | $9.13 | $15.21 | $15.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.10 / $15.21 / $15.21
| Professional | | $11.10 | $15.21 | $15.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.63 / $32.14 / $62.53
| Facility | | $10.63 | $32.14 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.28 / $17.17 / $88.13
| Professional | | $11.28 | $17.17 | $88.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.60 / $19.77 / $332.00
| Facility | | $7.60 | $19.77 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.08 / $9.13 / $27.83
| Professional | | $6.08 | $9.13 | $27.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $12.96 / $16.04
| Professional | | $8.82 | $12.96 | $16.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.24 / $16.89 / $21.69
| Facility | | $12.24 | $16.89 | $21.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.84 / $37.47 / $204.21
| Facility | | $14.84 | $37.47 | $204.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $11.87 / $31.33
| Professional | | $5.48 | $11.87 | $31.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.45 / $22.82
| Professional | | $5.25 | $7.45 | $22.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.48 / $17.48 / $35.95
| Facility | | $17.48 | $17.48 | $35.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $14.45 / $18.28
| Professional | | $8.82 | $14.45 | $18.28 |