- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.46 / $26.51 / $44.18
| Facility | | $13.46 | $26.51 | $44.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $13.98 / $21.28
| Professional | | $11.50 | $13.98 | $21.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.50 / $15.50 / $40.29
| Facility | | $15.50 | $15.50 | $40.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.39 / $9.36 / $32.94
| Professional | | $7.39 | $9.36 | $32.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.30 / $15.50 / $15.50
| Facility | | $9.30 | $15.50 | $15.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.32 / $15.50 / $15.50
| Professional | | $11.32 | $15.50 | $15.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.83 / $32.76 / $158.79
| Facility | | $10.83 | $32.76 | $158.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $17.53 / $105.21
| Professional | | $11.50 | $17.53 | $105.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $20.50 / $332.00
| Facility | | $10.00 | $20.50 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.20 / $9.30 / $28.37
| Professional | | $6.20 | $9.30 | $28.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.65 / $15.50 / $18.63
| Professional | | $12.65 | $15.50 | $18.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.98 / $71.98 / $71.98
| Facility | | $71.98 | $71.98 | $71.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.12 / $37.47 / $208.19
| Facility | | $15.12 | $37.47 | $208.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.43 / $18.27 / $67.15
| Professional | | $12.43 | $18.27 | $67.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.87 / $9.85 / $23.49
| Professional | | $7.87 | $9.85 | $23.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.82 / $17.82 / $37.51
| Facility | | $17.82 | $17.82 | $37.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.65 / $16.25 / $20.57
| Professional | | $12.65 | $16.25 | $20.57 |