- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $23.44 / $36.31
| Facility | | $11.22 | $23.44 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $10.96 / $38.02
| Professional | | $7.59 | $10.96 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $13.18 / $33.88
| Facility | | $13.18 | $13.18 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $5.75 / $27.54
| Professional | | $5.75 | $5.75 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $13.18 / $13.18
| Facility | | $7.76 | $13.18 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $13.18 / $13.18
| Professional | | $9.55 | $13.18 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $28.18 / $109.65
| Facility | | $10.00 | $28.18 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $17.38 / $69.18
| Professional | | $7.94 | $17.38 | $69.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $21.38 / $50.12
| Facility | | $13.18 | $21.38 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $12.88 / $24.55
| Professional | | $9.12 | $12.88 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $12.88 / $23.44
| Professional | | $11.22 | $12.88 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $24.55 / $50,118.72
| Facility | | $16.98 | $24.55 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $13.18 / $14.13
| Professional | | $13.18 | $13.18 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $13.18 / $15.85
| Facility | | $11.75 | $13.18 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.76 / $20.42
| Professional | | $5.75 | $7.76 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $14.45 / $32.36
| Facility | | $7.59 | $14.45 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $13.80 / $34.67
| Professional | | $11.22 | $13.80 | $34.67 |