- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.35 / $33.14 / $67.77
| Facility | | $14.35 | $33.14 | $67.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.69 / $12.98 / $16.89
| Professional | | $10.69 | $12.98 | $16.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.89 / $16.89 / $43.91
| Facility | | $16.89 | $16.89 | $43.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.11 / $10.21 / $29.05
| Professional | | $7.11 | $10.21 | $29.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.13 / $16.89 / $16.89
| Facility | | $10.13 | $16.89 | $16.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.33 / $16.89 / $16.89
| Professional | | $12.33 | $16.89 | $16.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.80 / $33.90 / $43.46
| Facility | | $11.80 | $33.90 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $16.14 / $81.41
| Professional | | $10.63 | $16.14 | $81.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.00 / $23.65 / $332.00
| Facility | | $12.00 | $23.65 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $10.13 / $30.91
| Professional | | $6.76 | $10.13 | $30.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.57 / $16.05 / $24.12
| Professional | | $8.57 | $16.05 | $24.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.25 / $11.25 / $1,148.31
| Facility | | $11.25 | $11.25 | $1,148.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.48 / $40.86 / $254.50
| Facility | | $15.48 | $40.86 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.55 / $19.09 / $34.63
| Professional | | $11.55 | $19.09 | $34.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.98 / $8.27 / $24.81
| Professional | | $5.98 | $8.27 | $24.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.42 / $19.42 / $36.77
| Facility | | $19.42 | $19.42 | $36.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.15 / $17.71 / $28.64
| Professional | | $11.15 | $17.71 | $28.64 |