- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $5.27 / $51.77
| Facility | | $4.80 | $5.27 | $51.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.27 / $8.09 / $51.77
| Professional | | $5.27 | $8.09 | $51.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.74 / $6.91 / $18.26
| Facility | | $5.74 | $6.91 | $18.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.97 / $9.00 / $16.51
| Professional | | $7.97 | $9.00 | $16.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.91 / $24.56 / $37.95
| Facility | | $18.91 | $24.56 | $37.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $38.51 / $67.45
| Professional | | $9.69 | $38.51 | $67.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.99 / $10.78 / $16.88
| Facility | | $8.99 | $10.78 | $16.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $9.16 / $12.26
| Professional | | $9.16 | $9.16 | $12.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.35 / $17.94 / $21.53
| Professional | | $14.35 | $17.94 | $21.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.76 / $12.56 / $27.81
| Professional | | $10.76 | $12.56 | $27.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.17 / $85.22 / $85.22
| Facility | | $80.17 | $85.22 | $85.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.34 / $89.37 / $119.48
| Professional | | $89.34 | $89.37 | $119.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.91 / $15.87 / $18.20
| Facility | | $4.91 | $15.87 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $10.78 / $14.97
| Professional | | $9.16 | $10.78 | $14.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.86 / $33.86 / $33.86
| Professional | | $33.86 | $33.86 | $33.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.35 / $21.01 / $27.31
| Professional | | $14.35 | $21.01 | $27.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $7.61 / $17.63
| Professional | | $6.91 | $7.61 | $17.63 |