- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.36 / $18.55 / $30.86
| Facility | | $13.36 | $18.55 | $30.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.36 / $16.73 / $22.66
| Professional | | $13.36 | $16.73 | $22.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.64 / $14.45 / $30.11
| Professional | | $11.64 | $14.45 | $30.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.91 / $24.91 / $24.91
| Facility | | $24.91 | $24.91 | $24.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.91 / $24.91 / $24.91
| Professional | | $24.91 | $24.91 | $24.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $19.55 / $19.55
| Facility | | $19.55 | $19.55 | $19.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.62 / $21.78 / $49.44
| Professional | | $14.62 | $21.78 | $49.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $26.53 / $332.00
| Facility | | $10.00 | $26.53 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.89 / $22.90 / $36.22
| Professional | | $16.89 | $22.90 | $36.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.07 / $16.07 / $18.42
| Facility | | $16.07 | $16.07 | $18.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.27 / $21.54 / $36.64
| Professional | | $13.27 | $21.54 | $36.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $19.55 / $19.55
| Facility | | $19.55 | $19.55 | $19.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.99 / $21.30 / $42.41
| Professional | | $15.99 | $21.30 | $42.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.41 / $17.57 / $35.25
| Professional | | $13.41 | $17.57 | $35.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.07 / $18.42 / $38.61
| Facility | | $16.07 | $18.42 | $38.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.06 / $21.54 / $43.26
| Professional | | $14.06 | $21.54 | $43.26 |