- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.84 / $45.88 / $98.58
| Facility | | $7.84 | $45.88 | $98.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.02 / $9.00 / $10.32
| Professional | | $6.02 | $9.00 | $10.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.95 / $4.95 / $6.19
| Professional | | $4.95 | $4.95 | $6.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.68 / $34.04 / $61.82
| Facility | | $12.68 | $34.04 | $61.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.50 / $9.18
| Professional | | $5.00 | $5.50 | $9.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.32 / $16.51 / $63.32
| Facility | | $10.32 | $16.51 | $63.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $10.32 / $15.48
| Professional | | $7.22 | $10.32 | $15.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $10.11 / $10.32
| Facility | | $10.11 | $10.11 | $10.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.21 / $22.55 / $47.40
| Facility | | $7.21 | $22.55 | $47.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $7.58 / $17.51
| Professional | | $5.47 | $7.58 | $17.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $182.02 / $231.44 / $231.44
| Facility | | $182.02 | $231.44 | $231.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.26 / $10.32 / $13.42
| Facility | | $8.26 | $10.32 | $13.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $10.32 / $11.39
| Professional | | $9.28 | $10.32 | $11.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.26 / $10.32 / $25.96
| Facility | | $8.26 | $10.32 | $25.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $7.95 / $12.68
| Professional | | $5.47 | $7.95 | $12.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.33 / $5.92 / $10.32
| Professional | | $4.33 | $5.92 | $10.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.09 / $10.32
| Professional | | $4.01 | $5.09 | $10.32 |