- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.06 / $44.75 / $226.89
| Facility | | $9.06 | $44.75 | $226.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $10.36 / $14.38
| Professional | | $7.19 | $10.36 | $14.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.33 / $8.33
| Professional | | $5.75 | $8.33 | $8.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.98 / $39.93 / $71.76
| Facility | | $14.98 | $39.93 | $71.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.35 / $10.66
| Professional | | $5.00 | $6.35 | $10.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $19.17 / $70.98
| Facility | | $11.98 | $19.17 | $70.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $11.98 / $19.17
| Professional | | $8.39 | $11.98 | $19.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $11.98 / $13.81
| Facility | | $11.98 | $11.98 | $13.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.38 / $26.33 / $60.83
| Facility | | $8.38 | $26.33 | $60.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.35 / $8.85 / $20.23
| Professional | | $6.35 | $8.85 | $20.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.57 / $71.06 / $85.00
| Facility | | $56.57 | $71.06 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.58 / $11.98 / $17.79
| Facility | | $9.58 | $11.98 | $17.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.31 / $11.98 / $15.62
| Professional | | $11.31 | $11.98 | $15.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.58 / $11.98 / $29.89
| Facility | | $9.58 | $11.98 | $29.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.35 / $9.22 / $17.32
| Professional | | $6.35 | $9.22 | $17.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $6.86 / $10.31
| Professional | | $5.03 | $6.86 | $10.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $5.92 / $11.98
| Professional | | $4.67 | $5.92 | $11.98 |