- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.56 / $6.09 / $59.72
| Facility | | $5.56 | $6.09 | $59.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $8.23 / $57.90
| Professional | | $5.78 | $8.23 | $57.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.72 / $8.10 / $21.41
| Facility | | $6.72 | $8.10 | $21.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $9.35 / $19.25
| Professional | | $9.35 | $9.35 | $19.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.82 / $28.36 / $43.81
| Facility | | $21.82 | $28.36 | $43.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.19 / $44.41 / $77.81
| Professional | | $11.19 | $44.41 | $77.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.39 / $12.44 / $21.81
| Facility | | $10.39 | $12.44 | $21.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.57 / $10.57 / $13.45
| Professional | | $10.57 | $10.57 | $13.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.55 / $20.70 / $24.84
| Professional | | $16.55 | $20.70 | $24.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.42 / $14.49 / $32.09
| Professional | | $12.42 | $14.49 | $32.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $98.33 / $98.33
| Facility | | $85.00 | $98.33 | $98.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $113.00 / $115.70 / $141.83
| Professional | | $113.00 | $115.70 | $141.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.67 / $18.32 / $21.52
| Facility | | $5.67 | $18.32 | $21.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.57 / $12.44 / $17.60
| Professional | | $10.57 | $12.44 | $17.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.06 / $39.06 / $39.06
| Professional | | $39.06 | $39.06 | $39.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.55 / $17.34 / $22.55
| Professional | | $16.55 | $17.34 | $22.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.88 / $8.77 / $20.03
| Professional | | $7.88 | $8.77 | $20.03 |