- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.00 / $16.48 / $57.64
| Facility | | $11.00 | $16.48 | $57.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $13.00 / $42.29
| Professional | | $10.19 | $13.00 | $42.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.03 / $39.84 / $100.00
| Facility | | $19.03 | $39.84 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.15 / $24.83 / $117.15
| Professional | | $14.15 | $24.83 | $117.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.00 / $108.00 / $118.00
| Facility | | $90.00 | $108.00 | $118.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.14 / $42.89 / $104.88
| Professional | | $13.14 | $42.89 | $104.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.95 / $19.73 / $36.97
| Facility | | $13.95 | $19.73 | $36.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.14 / $19.68 / $34.92
| Professional | | $13.14 | $19.68 | $34.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $8.82 / $10.82
| Professional | | $7.74 | $8.82 | $10.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.05 / $28.14 / $30.82
| Facility | | $22.05 | $28.14 | $30.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.03 / $25.11 / $37.11
| Facility | | $19.03 | $25.11 | $37.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.44 / $26.72 / $35.72
| Professional | | $19.44 | $26.72 | $35.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.03 / $20.97 / $38.31
| Facility | | $18.03 | $20.97 | $38.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.77 / $14.49 / $24.14
| Professional | | $13.77 | $14.49 | $24.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.10 / $15.52 / $40.95
| Professional | | $12.10 | $15.52 | $40.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.46 / $15.81 / $15.81
| Professional | | $14.46 | $15.81 | $15.81 |