- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $74.13
| Facility | | $3.98 | $5.01 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $10.96 / $63.10
| Professional | | $5.01 | $10.96 | $63.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $7.24 / $18.20
| Facility | | $5.75 | $7.24 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $22.39
| Professional | | $7.59 | $7.59 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $25.12 / $36.31
| Facility | | $18.20 | $25.12 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $32.36 / $61.66
| Professional | | $19.95 | $32.36 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $8.71 / $8.71
| Professional | | $8.71 | $8.71 | $8.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $19.50 / $23.44
| Professional | | $17.38 | $19.50 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $18.20 / $40.74
| Professional | | $10.96 | $18.20 | $40.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.28 / $81.28 / $85.11
| Facility | | $81.28 | $81.28 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.11 / $128.82 / $128.82
| Professional | | $85.11 | $128.82 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $17.38
| Professional | | $17.38 | $17.38 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $17.38 / $25.12
| Facility | | $10.47 | $17.38 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $8.71 / $16.98
| Professional | | $8.71 | $8.71 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $32.36
| Professional | | $32.36 | $32.36 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $14.13 / $19.50
| Professional | | $11.22 | $14.13 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $7.76 / $16.98
| Professional | | $6.61 | $7.76 | $16.98 |