- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.57 / $66.09 / $227.58
| Facility | | $10.57 | $66.09 | $227.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.79 / $10.36 / $16.69
| Professional | | $7.79 | $10.36 | $16.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.58 / $43.96 / $78.87
| Facility | | $15.58 | $43.96 | $78.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.37 / $9.46
| Professional | | $5.00 | $7.37 | $9.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.52 / $18.78 / $96.00
| Facility | | $12.52 | $18.78 | $96.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.63 / $13.63 / $13.91
| Facility | | $13.63 | $13.63 | $13.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.72 / $27.66 / $61.91
| Facility | | $9.72 | $27.66 | $61.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.37 / $11.97 / $21.34
| Professional | | $7.37 | $11.97 | $21.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.29 / $83.01 / $83.01
| Facility | | $65.29 | $83.01 | $83.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.57 / $13.91 / $21.79
| Facility | | $10.57 | $13.91 | $21.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.82 / $13.91 / $15.62
| Professional | | $11.82 | $13.91 | $15.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.57 / $13.91 / $32.04
| Facility | | $10.57 | $13.91 | $32.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.37 / $11.49 / $17.32
| Professional | | $7.37 | $11.49 | $17.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.04 / $13.91 / $16.69
| Facility | | $7.04 | $13.91 | $16.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.84 / $7.04 / $11.89
| Professional | | $5.84 | $7.04 | $11.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $5.92 / $13.91
| Professional | | $5.42 | $5.92 | $13.91 |