- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.73 / $8.69 / $28.80
| Facility | | $2.73 | $8.69 | $28.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.33 / $8.81 / $11.75
| Professional | | $7.33 | $8.81 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.89 / $8.52 / $8.52
| Professional | | $7.89 | $8.52 | $8.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.03 / $16.52 / $37.72
| Facility | | $10.03 | $16.52 | $37.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.39 / $6.39 / $7.17
| Professional | | $6.39 | $6.39 | $7.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $10.73 / $16.73
| Professional | | $8.36 | $10.73 | $16.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.41 / $187.06 / $187.06
| Facility | | $13.41 | $187.06 | $187.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.07 / $8.07 / $8.53
| Facility | | $8.07 | $8.07 | $8.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $6.86 / $8.53
| Professional | | $6.86 | $6.86 | $8.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $80.00 / $80.00
| Facility | | $75.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.78 / $66.78 / $100.58
| Professional | | $66.78 | $66.78 | $100.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.36 / $11.51 / $13.41
| Facility | | $8.36 | $11.51 | $13.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $12.07 / $13.41
| Professional | | $8.36 | $12.07 | $13.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.26 / $10.06 / $13.41
| Facility | | $8.26 | $10.06 | $13.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $6.86 / $11.02
| Professional | | $6.86 | $6.86 | $11.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.75 / $6.19 / $8.77
| Professional | | $4.75 | $6.19 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.56 / $6.76 / $13.41
| Professional | | $6.56 | $6.76 | $13.41 |