- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.72 / $25.56 / $44.15
| Facility | | $14.72 | $25.56 | $44.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $13.17 / $15.49
| Professional | | $11.50 | $13.17 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $40.27
| Facility | | $15.49 | $15.49 | $40.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.39 / $9.36 / $34.97
| Professional | | $7.39 | $9.36 | $34.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.28 / $15.49 / $15.49
| Facility | | $9.28 | $15.49 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.31 / $15.49 / $15.49
| Professional | | $11.31 | $15.49 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.82 / $32.72 / $158.79
| Facility | | $10.82 | $32.72 | $158.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $17.53 / $117.23
| Professional | | $11.50 | $17.53 | $117.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $20.14 / $332.00
| Facility | | $8.60 | $20.14 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $9.28 / $28.35
| Professional | | $7.08 | $9.28 | $28.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $15.49
| Facility | | $15.49 | $15.49 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.65 / $15.49 / $19.98
| Professional | | $13.65 | $15.49 | $19.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.11 / $37.47 / $208.19
| Facility | | $15.11 | $37.47 | $208.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.43 / $18.19 / $31.91
| Professional | | $12.43 | $18.19 | $31.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $9.28 / $23.24
| Professional | | $6.51 | $9.28 | $23.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.80 / $17.80 / $57.04
| Facility | | $17.80 | $17.80 | $57.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.65 / $16.76 / $20.56
| Professional | | $13.65 | $16.76 | $20.56 |