- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.64 / $38.19 / $67.31
| Facility | | $13.64 | $38.19 | $67.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $11.89 / $24.48
| Professional | | $4.32 | $11.89 | $24.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.48 / $24.48 / $63.65
| Facility | | $24.48 | $24.48 | $63.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $9.78 / $30.55
| Professional | | $3.21 | $9.78 | $30.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.69 / $24.48 / $24.48
| Facility | | $14.69 | $24.48 | $24.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.87 / $24.48 / $24.48
| Professional | | $17.87 | $24.48 | $24.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.11 / $49.46 / $69.48
| Facility | | $17.11 | $49.46 | $69.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.14 / $24.84 / $117.99
| Professional | | $10.14 | $24.84 | $117.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $31.82 / $332.00
| Facility | | $6.50 | $31.82 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.78 / $14.57 / $44.80
| Professional | | $9.78 | $14.57 | $44.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $8.11 / $8.11
| Facility | | $8.11 | $8.11 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $12.35 / $25.66
| Professional | | $8.11 | $12.35 | $25.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.91 / $59.59 / $254.50
| Facility | | $19.91 | $59.59 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $10.52 / $37.94
| Professional | | $5.48 | $10.52 | $37.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $11.02 / $35.95
| Professional | | $5.25 | $11.02 | $35.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.26 / $28.15 / $34.28
| Facility | | $25.26 | $28.15 | $34.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $12.66 / $29.42
| Professional | | $8.41 | $12.66 | $29.42 |