- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.47 / $36.34 / $117.66
| Facility | | $12.47 | $36.34 | $117.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $12.81 / $32.86
| Professional | | $10.10 | $12.81 | $32.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.91 / $51.90 / $94.36
| Facility | | $17.91 | $51.90 | $94.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.93 / $13.48
| Professional | | $5.00 | $8.93 | $13.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.17 / $22.75 / $101.20
| Facility | | $15.17 | $22.75 | $101.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.85 / $16.85 / $16.85
| Facility | | $16.85 | $16.85 | $16.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.69 / $33.35 / $75.51
| Facility | | $13.69 | $33.35 | $75.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.65 / $10.89 / $25.81
| Professional | | $8.65 | $10.89 | $25.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.68 / $80.04 / $80.04
| Facility | | $53.68 | $80.04 | $80.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.41 / $16.85 / $29.49
| Facility | | $12.41 | $16.85 | $29.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.17 / $16.85 / $18.91
| Professional | | $15.17 | $16.85 | $18.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.54 / $16.85 / $42.18
| Facility | | $12.54 | $16.85 | $42.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.93 / $11.34 / $21.05
| Professional | | $8.93 | $11.34 | $21.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.52 / $16.85 / $20.22
| Facility | | $8.52 | $16.85 | $20.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $8.43 / $11.84
| Professional | | $7.08 | $8.43 | $11.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.57 / $7.16 / $16.85
| Professional | | $6.57 | $7.16 | $16.85 |