- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.50 / $34.60 / $62.02
| Facility | | $18.50 | $34.60 | $62.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $10.91 / $25.24
| Professional | | $6.49 | $10.91 | $25.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.76 / $21.76 / $56.58
| Facility | | $21.76 | $21.76 | $56.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.83 / $8.98 / $29.14
| Professional | | $4.83 | $8.98 | $29.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.06 / $21.76 / $21.76
| Facility | | $13.06 | $21.76 | $21.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.88 / $21.76 / $21.76
| Professional | | $15.88 | $21.76 | $21.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.21 / $43.82 / $94.03
| Facility | | $15.21 | $43.82 | $94.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $20.82 / $104.88
| Professional | | $9.22 | $20.82 | $104.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $28.29 / $332.00
| Facility | | $9.00 | $28.29 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $13.06 / $39.82
| Professional | | $9.94 | $13.06 | $39.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.65 / $14.65 / $14.65
| Facility | | $14.65 | $14.65 | $14.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.66 / $15.21 / $22.81
| Professional | | $10.66 | $15.21 | $22.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.91 / $52.79 / $235.61
| Facility | | $19.91 | $52.79 | $235.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $15.30 / $33.72
| Professional | | $9.61 | $15.30 | $33.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $10.66 / $31.96
| Professional | | $7.70 | $10.66 | $31.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.02 / $25.02 / $27.71
| Facility | | $25.02 | $25.02 | $27.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.35 / $15.56 / $26.15
| Professional | | $10.35 | $15.56 | $26.15 |