- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.00 / $27.74 / $38.70
| Facility | | $11.00 | $27.74 | $38.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.00 / $13.61 / $35.00
| Professional | | $11.00 | $13.61 | $35.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.26 / $20.95 / $39.34
| Professional | | $13.26 | $20.95 | $39.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.00 / $15.18 / $18.03
| Facility | | $12.00 | $15.18 | $18.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.78 / $16.52 / $23.16
| Professional | | $13.78 | $16.52 | $23.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.65 / $46.33 / $61.58
| Facility | | $39.65 | $46.33 | $61.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.64 / $31.37 / $50.94
| Professional | | $16.64 | $31.37 | $50.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.83 / $13.17 / $25.18
| Facility | | $10.83 | $13.17 | $25.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.41 / $13.23 / $25.18
| Facility | | $10.41 | $13.23 | $25.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.20 / $30.34 / $93.56
| Professional | | $16.20 | $30.34 | $93.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.85 / $58.40 / $85.00
| Professional | | $43.85 | $58.40 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.86 / $13.17 / $25.18
| Facility | | $10.86 | $13.17 | $25.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.34 / $34.32 / $45.17
| Professional | | $19.34 | $34.32 | $45.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $24.10 / $57.52
| Facility | | $16.98 | $24.10 | $57.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.92 / $70.18 / $93.56
| Professional | | $19.92 | $70.18 | $93.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.59 / $26.13 / $30.96
| Professional | | $21.59 | $26.13 | $30.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.58 / $25.78 / $39.81
| Professional | | $15.58 | $25.78 | $39.81 |