- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.90 / $53.72 / $136.53
| Facility | | $10.90 | $53.72 | $136.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.65 / $12.56 / $16.64
| Professional | | $8.65 | $12.56 | $16.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $10.01 / $10.01
| Professional | | $6.92 | $10.01 | $10.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.87 / $47.12 / $85.02
| Facility | | $17.87 | $47.12 | $85.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.64 / $12.82
| Professional | | $5.00 | $7.64 | $12.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.41 / $23.06 / $75.62
| Facility | | $14.41 | $23.06 | $75.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.81 / $14.41 / $22.13
| Professional | | $10.81 | $14.41 | $22.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.12 / $14.12 / $14.41
| Facility | | $14.12 | $14.12 | $14.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.07 / $31.67 / $72.73
| Facility | | $10.07 | $31.67 | $72.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.64 / $10.47 / $24.07
| Professional | | $7.64 | $10.47 | $24.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.00 / $72.25 / $72.25
| Facility | | $68.00 | $72.25 | $72.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.53 / $14.41 / $19.73
| Facility | | $11.53 | $14.41 | $19.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.97 / $14.41 / $18.77
| Professional | | $12.97 | $14.41 | $18.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.53 / $14.41 / $34.61
| Facility | | $11.53 | $14.41 | $34.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.64 / $11.10 / $20.81
| Professional | | $7.64 | $11.10 | $20.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.05 / $8.24 / $11.76
| Professional | | $6.05 | $8.24 | $11.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $7.11 / $14.41
| Professional | | $5.62 | $7.11 | $14.41 |