- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.12 / $4.51 / $44.31
| Facility | | $4.12 | $4.51 | $44.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.12 / $7.16 / $44.31
| Professional | | $4.12 | $7.16 | $44.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $15.36 / $47.10
| Facility | | $5.75 | $15.36 | $47.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.36 / $7.36 / $14.28
| Professional | | $7.36 | $7.36 | $14.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.78 / $23.81 / $33.07
| Facility | | $15.78 | $23.81 | $33.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.87 / $38.82 / $57.75
| Professional | | $17.87 | $38.82 | $57.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.84 / $10.72 / $10.72
| Professional | | $7.84 | $10.72 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $19.97 / $41.01
| Professional | | $10.00 | $19.97 | $41.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.18 / $80.00 / $100.00
| Facility | | $31.18 | $80.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.48 / $76.48 / $115.20
| Professional | | $76.48 | $76.48 | $115.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.81 / $35.81 / $35.81
| Professional | | $35.81 | $35.81 | $35.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.09 / $15.36 / $21.54
| Facility | | $11.09 | $15.36 | $21.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.84 / $10.72 / $14.62
| Professional | | $7.84 | $10.72 | $14.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.98 / $28.98 / $28.98
| Professional | | $28.98 | $28.98 | $28.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.29 / $12.29 / $13.82
| Professional | | $12.29 | $12.29 | $13.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.14 / $6.93 / $16.89
| Professional | | $6.14 | $6.93 | $16.89 |