- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.18 / $33.20 / $111.74
| Facility | | $11.18 | $33.20 | $111.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.88 / $12.58 / $14.36
| Professional | | $8.88 | $12.58 | $14.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.88 / $8.88 / $8.88
| Professional | | $8.88 | $8.88 | $8.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.50 / $48.40 / $88.65
| Facility | | $18.50 | $48.40 | $88.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.84 / $13.17
| Professional | | $5.00 | $7.84 | $13.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.02 / $68.02 / $97.30
| Facility | | $68.02 | $68.02 | $97.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.36 / $14.58 / $23.24
| Professional | | $10.36 | $14.58 | $23.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.80 / $14.80 / $17.05
| Facility | | $14.80 | $14.80 | $17.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.34 / $32.52 / $75.36
| Facility | | $10.34 | $32.52 | $75.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.84 / $10.83 / $25.17
| Professional | | $7.84 | $10.83 | $25.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $127.46 / $162.06 / $162.06
| Facility | | $127.46 | $162.06 | $162.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.84 / $14.80 / $21.87
| Facility | | $11.84 | $14.80 | $21.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.32 / $14.80 / $19.29
| Professional | | $13.32 | $14.80 | $19.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.84 / $14.80 / $37.22
| Facility | | $11.84 | $14.80 | $37.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.84 / $11.38 / $21.38
| Professional | | $7.84 | $11.38 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $8.47 / $12.08
| Professional | | $6.22 | $8.47 | $12.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $7.31 / $14.80
| Professional | | $5.77 | $7.31 | $14.80 |