- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $12.88
| Facility | | $12.02 | $12.02 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $13.18 / $34.67
| Professional | | $10.96 | $13.18 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $15.14 / $169.82
| Facility | | $9.77 | $15.14 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $16.60 / $39.81
| Professional | | $11.48 | $16.60 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $30.20 / $39.81
| Facility | | $13.49 | $30.20 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $18.20 / $31.62
| Professional | | $13.49 | $18.20 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $18.20 / $36.31
| Professional | | $12.30 | $18.20 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $10.72 / $13.80
| Facility | | $10.47 | $10.72 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $14.45 / $26.30
| Professional | | $7.59 | $14.45 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $21.38 / $34.67
| Professional | | $12.59 | $21.38 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $14.79 / $14.79
| Facility | | $14.79 | $14.79 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $19.50 / $23.44
| Professional | | $14.79 | $19.50 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $15.14 / $169.82
| Facility | | $9.77 | $15.14 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $16.60 / $40.74
| Professional | | $11.48 | $16.60 | $40.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $10.23 / $10.72
| Facility | | $10.23 | $10.23 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $16.98 / $34.67
| Professional | | $11.48 | $16.98 | $34.67 |