- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $46.62 / $131.60
| Facility | | $10.94 | $46.62 | $131.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.63 / $10.94 / $25.12
| Professional | | $8.63 | $10.94 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.39 / $14.39 / $14.39
| Professional | | $14.39 | $14.39 | $14.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.84 / $47.49 / $84.90
| Facility | | $17.84 | $47.49 | $84.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.63 / $14.10
| Professional | | $5.00 | $7.63 | $14.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.95 / $19.43 / $84.16
| Facility | | $12.95 | $19.43 | $84.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.07 / $13.66 / $23.02
| Professional | | $10.07 | $13.66 | $23.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.39 / $15.11 / $15.11
| Facility | | $14.39 | $15.11 | $15.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $31.60 / $72.73
| Facility | | $10.06 | $31.60 | $72.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $10.47 / $24.07
| Professional | | $7.63 | $10.47 | $24.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.35 / $76.73 / $76.73
| Facility | | $60.35 | $76.73 | $76.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.51 / $14.39 / $21.47
| Facility | | $11.51 | $14.39 | $21.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.95 / $14.39 / $18.75
| Professional | | $12.95 | $14.39 | $18.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.51 / $14.39 / $35.88
| Facility | | $11.51 | $14.39 | $35.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $11.08 / $20.80
| Professional | | $7.63 | $11.08 | $20.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $8.24 / $11.75
| Professional | | $6.04 | $8.24 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.61 / $7.11 / $14.39
| Professional | | $5.61 | $7.11 | $14.39 |