- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.89 / $50.69 / $165.98
| Facility | | $9.89 | $50.69 | $165.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.81 / $11.60 / $21.26
| Professional | | $7.81 | $11.60 | $21.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.24 / $7.81 / $9.02
| Professional | | $6.24 | $7.81 | $9.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.83 / $41.50 / $76.76
| Facility | | $14.83 | $41.50 | $76.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.90 / $11.58
| Professional | | $5.00 | $6.90 | $11.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.01 / $20.17 / $48.97
| Facility | | $13.01 | $20.17 | $48.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $12.33 / $19.52
| Professional | | $9.11 | $12.33 | $19.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.71 / $11.71 / $13.01
| Facility | | $11.71 | $11.71 | $13.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.09 / $28.59 / $66.12
| Facility | | $9.09 | $28.59 | $66.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.90 / $9.57 / $21.88
| Professional | | $6.90 | $9.57 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.32 / $108.48 / $108.48
| Facility | | $85.32 | $108.48 | $108.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $13.01 / $16.91
| Facility | | $10.29 | $13.01 | $16.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.71 / $13.01 / $16.95
| Professional | | $11.71 | $13.01 | $16.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $13.01 / $30.58
| Facility | | $10.29 | $13.01 | $30.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.90 / $10.02 / $18.64
| Professional | | $6.90 | $10.02 | $18.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.46 / $7.44 / $10.62
| Professional | | $5.46 | $7.44 | $10.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.07 / $6.42 / $13.01
| Professional | | $5.07 | $6.42 | $13.01 |