- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.64 / $12.85 / $56.40
| Facility | | $11.64 | $12.85 | $56.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $12.64 / $44.68
| Professional | | $10.44 | $12.64 | $44.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.81 / $16.70 / $43.98
| Facility | | $13.81 | $16.70 | $43.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.00 / $16.07 / $33.15
| Professional | | $11.00 | $16.07 | $33.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $12.71 / $20.73
| Professional | | $9.36 | $12.71 | $20.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.86 / $15.00 / $33.06
| Professional | | $11.86 | $15.00 | $33.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.63 / $12.95 / $17.37
| Professional | | $8.63 | $12.95 | $17.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.76 / $21.76 / $21.76
| Professional | | $21.76 | $21.76 | $21.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.06 / $12.02 / $24.00
| Professional | | $9.06 | $12.02 | $24.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.36 / $70.00 / $100.00
| Facility | | $25.36 | $70.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.50 / $70.50 / $92.93
| Professional | | $70.50 | $70.50 | $92.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $32.34
| Professional | | $32.34 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.57 / $13.38 / $18.19
| Facility | | $10.57 | $13.38 | $18.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $14.82 / $32.26
| Professional | | $10.68 | $14.82 | $32.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.21 / $38.21 / $38.21
| Professional | | $38.21 | $38.21 | $38.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.80 / $12.15 / $14.85
| Professional | | $10.80 | $12.15 | $14.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.24 / $13.42 / $33.65
| Professional | | $9.24 | $13.42 | $33.65 |