- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $8.66 / $72.94
| Facility | | $8.44 | $8.66 | $72.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.14 / $8.44 / $12.28
| Professional | | $8.14 | $8.44 | $12.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.84 / $28.24 / $59.51
| Professional | | $13.84 | $28.24 | $59.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.65 / $46.33 / $61.58
| Facility | | $39.65 | $46.33 | $61.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.42 / $26.15 / $30.94
| Professional | | $11.42 | $26.15 | $30.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $11.67 / $26.32
| Facility | | $8.44 | $11.67 | $26.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.49 / $11.49 / $11.49
| Professional | | $11.49 | $11.49 | $11.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.14 / $11.67 / $28.62
| Facility | | $8.14 | $11.67 | $28.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.42 / $11.37 / $111.30
| Professional | | $8.42 | $11.37 | $111.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.00 / $70.00 / $85.00
| Professional | | $50.00 | $70.00 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $11.67 / $26.32
| Facility | | $8.44 | $11.67 | $26.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.49 / $11.49 / $11.49
| Professional | | $11.49 | $11.49 | $11.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.91 / $33.17 / $44.04
| Professional | | $15.91 | $33.17 | $44.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.02 / $27.64 / $90.00
| Facility | | $27.02 | $27.64 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.42 / $73.65 / $111.30
| Professional | | $11.42 | $73.65 | $111.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.57 / $16.57 / $19.11
| Professional | | $16.57 | $16.57 | $19.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.99 / $8.85 / $16.70
| Professional | | $7.99 | $8.85 | $16.70 |