- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.72 / $28.92 / $80.22
| Facility | | $11.72 | $28.92 | $80.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $11.78 / $18.60
| Professional | | $9.30 | $11.78 | $18.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.22 / $51.30 / $93.62
| Facility | | $19.22 | $51.30 | $93.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.21 / $9.61
| Professional | | $5.00 | $8.21 | $9.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.50 / $17.05 / $21.70
| Professional | | $15.50 | $17.05 | $21.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.50 / $15.50 / $15.50
| Facility | | $15.50 | $15.50 | $15.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.83 / $33.86 / $71.73
| Facility | | $10.83 | $33.86 | $71.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.22 / $12.05 / $40.38
| Professional | | $8.22 | $12.05 | $40.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $101.29 / $101.29
| Facility | | $80.00 | $101.29 | $101.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.40 / $15.50 / $18.48
| Facility | | $12.40 | $15.50 | $18.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.67 / $15.50 / $20.20
| Professional | | $14.67 | $15.50 | $20.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.40 / $15.50 / $38.93
| Facility | | $12.40 | $15.50 | $38.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.22 / $13.95 / $28.99
| Professional | | $8.22 | $13.95 | $28.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.32 / $15.50 / $25.51
| Facility | | $9.32 | $15.50 | $25.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $12.67 / $15.50
| Professional | | $9.30 | $12.67 | $15.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.05 / $7.65 / $15.50
| Professional | | $6.05 | $7.65 | $15.50 |