- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $15.14 / $16.98
| Facility | | $12.02 | $15.14 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $15.14 / $20.89
| Professional | | $10.00 | $15.14 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $12.59 / $15.49
| Facility | | $12.59 | $12.59 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $11.48
| Professional | | $11.48 | $11.48 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $24.55 / $79.43
| Facility | | $24.55 | $24.55 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $15.85 / $16.60
| Facility | | $15.85 | $15.85 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $13.49 / $13.49
| Professional | | $9.77 | $13.49 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.82 / $114.82 / $114.82
| Facility | | $114.82 | $114.82 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.23 / $181.97 / $181.97
| Professional | | $120.23 | $181.97 | $181.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $20.42 / $33.88
| Facility | | $12.88 | $20.42 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $15.14 / $23.44
| Professional | | $10.96 | $15.14 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $81.28
| Professional | | $16.22 | $16.22 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $19.50 / $35.48
| Facility | | $12.02 | $19.50 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $13.49 / $15.85
| Professional | | $10.00 | $13.49 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $9.33 / $11.22
| Facility | | $6.61 | $9.33 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $10.96 / $14.45
| Professional | | $8.51 | $10.96 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $24.55 / $24.55
| Professional | | $24.55 | $24.55 | $24.55 |