- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $23.44 / $66.07
| Facility | | $8.91 | $23.44 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.00 / $15.14
| Professional | | $7.08 | $10.00 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $42.66 / $74.13
| Facility | | $16.98 | $42.66 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.92 / $11.75
| Professional | | $5.01 | $6.92 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $12.59 / $13.80
| Facility | | $12.59 | $12.59 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $26.30 / $66.07
| Facility | | $12.02 | $26.30 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $8.71 / $20.42
| Professional | | $6.76 | $8.71 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $64.57 / $72.44
| Facility | | $64.57 | $64.57 | $72.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $13.18 / $23.44
| Facility | | $9.55 | $13.18 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.96 / $15.49
| Professional | | $7.08 | $10.96 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $10.72 / $10.72
| Professional | | $9.55 | $10.72 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $13.80 / $35.48
| Facility | | $9.55 | $13.80 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $8.91 / $20.42
| Professional | | $6.76 | $8.91 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $7.59 / $12.59
| Facility | | $4.57 | $7.59 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $7.08 / $14.13
| Professional | | $5.37 | $7.08 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $4.90 / $12.59
| Professional | | $4.90 | $4.90 | $12.59 |