- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $20.28 / $34.14
| Facility | | $10.18 | $20.28 | $34.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $10.81 / $12.22
| Professional | | $6.49 | $10.81 | $12.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $11.98 / $31.15
| Facility | | $11.98 | $11.98 | $31.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $6.80 / $22.14
| Professional | | $4.42 | $6.80 | $22.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.19 / $11.98 / $11.98
| Facility | | $7.19 | $11.98 | $11.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $11.98 / $11.98
| Professional | | $8.75 | $11.98 | $11.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.38 / $25.16 / $94.03
| Facility | | $8.38 | $25.16 | $94.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $13.52 / $78.94
| Professional | | $8.89 | $13.52 | $78.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $16.77 / $332.00
| Facility | | $8.60 | $16.77 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $7.19 / $21.92
| Professional | | $5.47 | $7.19 | $21.92 |
- 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 / $10.92 / $14.40
| Professional | | $8.11 | $10.92 | $14.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $28.95 / $160.97
| Facility | | $13.73 | $28.95 | $160.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $12.02 / $24.68
| Professional | | $9.44 | $12.02 | $24.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $7.19 / $19.64
| Professional | | $5.03 | $7.19 | $19.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.78 / $13.78 / $42.22
| Facility | | $13.78 | $13.78 | $42.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.18 / $12.56 / $15.21
| Professional | | $10.18 | $12.56 | $15.21 |