- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.78 / $49.66 / $107.35
| Facility | | $8.78 | $49.66 | $107.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $10.08 / $11.57
| Professional | | $6.94 | $10.08 | $11.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $6.94 / $8.02
| Professional | | $4.05 | $6.94 | $8.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.35 / $38.18 / $69.19
| Facility | | $14.35 | $38.18 | $69.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.13 / $10.30
| Professional | | $5.00 | $6.13 | $10.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.57 / $17.93 / $64.97
| Facility | | $11.57 | $17.93 | $64.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $11.57 / $17.36
| Professional | | $8.68 | $11.57 | $17.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.57 / $12.15 / $12.15
| Facility | | $11.57 | $12.15 | $12.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.09 / $25.42 / $58.16
| Facility | | $8.09 | $25.42 | $58.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $8.48 / $19.69
| Professional | | $6.13 | $8.48 | $19.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.00 / $60.00 / $60.00
| Facility | | $49.00 | $60.00 | $60.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $11.57 / $17.10
| Facility | | $9.26 | $11.57 | $17.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.41 / $11.57 / $15.08
| Professional | | $10.41 | $11.57 | $15.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $11.57 / $29.09
| Facility | | $9.26 | $11.57 | $29.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $8.91 / $16.71
| Professional | | $6.13 | $8.91 | $16.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $6.62 / $9.44
| Professional | | $4.86 | $6.62 | $9.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $5.71 / $11.57
| Professional | | $4.51 | $5.71 | $11.57 |