- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $27.54 / $44.67
| Facility | | $14.13 | $27.54 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.02 / $21.88
| Professional | | $10.00 | $12.02 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $14.79 / $38.02
| Facility | | $14.79 | $14.79 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $7.41 / $33.88
| Professional | | $7.24 | $7.41 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $14.79 / $14.79
| Facility | | $8.91 | $14.79 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $14.79 / $14.79
| Professional | | $10.72 | $14.79 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $31.62 / $158.49
| Facility | | $11.22 | $31.62 | $158.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $21.38 / $97.72
| Professional | | $9.55 | $21.38 | $97.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $15.49 / $40.74
| Facility | | $7.59 | $15.49 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $10.23 / $28.84
| Professional | | $6.92 | $10.23 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $14.79 / $14.79
| Facility | | $14.79 | $14.79 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $14.79 / $19.05
| Professional | | $9.33 | $14.79 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $27.54 / $50,118.72
| Facility | | $12.30 | $27.54 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $13.18 / $17.78
| Facility | | $8.91 | $13.18 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $8.91 / $22.39
| Professional | | $6.17 | $8.91 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $14.79 / $23.44
| Facility | | $12.59 | $14.79 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $15.49 / $41.69
| Professional | | $11.48 | $15.49 | $41.69 |