- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.39 / $19.05 / $34.83
| Facility | | $10.39 | $19.05 | $34.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $10.39 / $27.57
| Professional | | $6.48 | $10.39 | $27.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.22 / $12.22 / $31.77
| Facility | | $12.22 | $12.22 | $31.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $9.05 / $32.86
| Professional | | $6.03 | $9.05 | $32.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.33 / $12.22 / $12.22
| Facility | | $7.33 | $12.22 | $12.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.92 / $12.22 / $12.22
| Professional | | $8.92 | $12.22 | $12.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.81 / $29.81 / $131.35
| Facility | | $14.81 | $29.81 | $131.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $21.38 / $49.06
| Professional | | $9.11 | $21.38 | $49.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.00 / $20.16 / $332.00
| Facility | | $13.00 | $20.16 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.55 / $12.83 / $22.85
| Professional | | $8.55 | $12.83 | $22.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.39 / $12.22 / $22.16
| Professional | | $10.39 | $12.22 | $22.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.19 / $36.19 / $36.19
| Facility | | $36.19 | $36.19 | $36.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.54 / $29.81 / $254.50
| Facility | | $14.54 | $29.81 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.80 / $18.97 / $39.43
| Professional | | $9.80 | $18.97 | $39.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $7.33 / $19.57
| Professional | | $5.13 | $7.33 | $19.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.05 / $14.05 / $14.05
| Facility | | $14.05 | $14.05 | $14.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $13.18 / $29.57
| Professional | | $11.61 | $13.18 | $29.57 |