- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.12 / $17.48 / $18.88
| Facility | | $14.12 | $17.48 | $18.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.83 / $17.48 / $23.04
| Professional | | $10.83 | $17.48 | $23.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.75 / $25.33 / $60.74
| Facility | | $22.75 | $25.33 | $60.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $13.49 / $13.49
| Professional | | $13.49 | $13.49 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.85 / $18.89 / $18.89
| Professional | | $13.85 | $18.89 | $18.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.31 / $92.31 / $92.31
| Facility | | $92.31 | $92.31 | $92.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.75 / $17.75 / $29.35
| Facility | | $17.75 | $17.75 | $29.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.09 / $15.09 / $15.09
| Professional | | $15.09 | $15.09 | $15.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.32 / $119.43 / $119.65
| Facility | | $42.32 | $119.43 | $119.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $125.45 / $127.35 / $188.93
| Professional | | $125.45 | $127.35 | $188.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.34 / $25.19 / $48.93
| Facility | | $17.34 | $25.19 | $48.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.41 / $23.93 / $25.19
| Professional | | $21.41 | $23.93 | $25.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.40 / $52.40 / $52.40
| Professional | | $52.40 | $52.40 | $52.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.48 / $25.19 / $49.62
| Facility | | $17.48 | $25.19 | $49.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.09 / $15.09 / $22.93
| Professional | | $15.09 | $15.09 | $22.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $11.64 / $19.39
| Professional | | $10.96 | $11.64 | $19.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.80 / $25.19 / $34.01
| Professional | | $12.80 | $25.19 | $34.01 |