- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $79.43
| Facility | | $5.01 | $5.01 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $72.44 / $154.88
| Professional | | $13.49 | $72.44 | $154.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $14.45 / $33.88
| Professional | | $9.77 | $14.45 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $26.30 / $41.69
| Facility | | $22.39 | $26.30 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $18.62 / $30.90
| Professional | | $14.13 | $18.62 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $9.77 / $24.55
| Facility | | $4.37 | $9.77 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $16.22
| Professional | | $16.22 | $16.22 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $10.47 / $33.88
| Facility | | $4.37 | $10.47 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $16.22 / $40.74
| Professional | | $12.02 | $16.22 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $33.11 / $85.11
| Professional | | $16.98 | $33.11 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $20.42 / $30.20
| Professional | | $13.49 | $20.42 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $79.43 / $79.43
| Facility | | $20.42 | $79.43 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $8.13 / $22.91
| Professional | | $8.13 | $8.13 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $18.62 / $18.62
| Professional | | $18.62 | $18.62 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $16.60 / $18.62
| Facility | | $13.80 | $16.60 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $30.20 / $30.20
| Professional | | $16.22 | $30.20 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $15.49 / $40.74
| Professional | | $8.71 | $15.49 | $40.74 |