- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.75 / $7.40 / $72.73
| Facility | | $6.75 | $7.40 | $72.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $11.36 / $72.73
| Professional | | $7.40 | $11.36 | $72.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.72 / $9.30 / $24.58
| Facility | | $7.72 | $9.30 | $24.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.73 / $10.73 / $23.44
| Professional | | $10.73 | $10.73 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.54 / $34.47 / $53.27
| Facility | | $26.54 | $34.47 | $53.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.62 / $54.10 / $94.75
| Professional | | $13.62 | $54.10 | $94.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.63 / $15.15 / $27.79
| Facility | | $12.63 | $15.15 | $27.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $16.34
| Professional | | $12.88 | $12.88 | $16.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.16 / $25.20 / $30.24
| Professional | | $20.16 | $25.20 | $30.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.12 / $17.64 / $39.06
| Professional | | $15.12 | $17.64 | $39.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $119.70 / $119.70
| Facility | | $85.00 | $119.70 | $119.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $143.78 / $147.24 / $160.65
| Professional | | $143.78 | $147.24 | $160.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.90 / $22.28 / $26.46
| Facility | | $6.90 | $22.28 | $26.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $15.15 / $20.99
| Professional | | $12.88 | $15.15 | $20.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.57 / $47.57 / $47.57
| Professional | | $47.57 | $47.57 | $47.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.16 / $21.08 / $27.41
| Professional | | $20.16 | $21.08 | $27.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $10.69 / $24.39
| Professional | | $9.66 | $10.69 | $24.39 |