- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.11 / $38.92 / $99.25
| Facility | | $9.11 | $38.92 | $99.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.14 / $10.24 / $14.46
| Professional | | $7.14 | $10.24 | $14.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $7.23 / $8.36
| Professional | | $5.78 | $7.23 | $8.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.50 / $38.92 / $71.45
| Facility | | $13.50 | $38.92 | $71.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.39 / $10.72
| Professional | | $5.00 | $6.39 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $11.66 / $18.07
| Professional | | $8.44 | $11.66 | $18.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $12.05 / $12.05
| Facility | | $12.05 | $12.05 | $12.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.42 / $26.31 / $55.39
| Facility | | $8.42 | $26.31 | $55.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.39 / $12.43 / $20.23
| Professional | | $6.39 | $12.43 | $20.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.34 / $77.70 / $79.81
| Facility | | $73.34 | $77.70 | $79.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.64 / $12.05 / $16.45
| Facility | | $9.64 | $12.05 | $16.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.31 / $12.05 / $15.70
| Professional | | $11.31 | $12.05 | $15.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.67 / $12.05 / $30.01
| Facility | | $9.67 | $12.05 | $30.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.39 / $12.05 / $17.26
| Professional | | $6.39 | $12.05 | $17.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.34 / $5.05 / $12.05
| Facility | | $4.34 | $5.05 | $12.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $6.89 / $10.36
| Professional | | $5.05 | $6.89 | $10.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $5.95 / $12.05
| Professional | | $5.95 | $5.95 | $12.05 |