- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.42 / $21.91 / $9,397.08
| Facility | | $12.42 | $21.91 | $9,397.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.07 / $12.55 / $17.72
| Professional | | $12.07 | $12.55 | $17.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.73 / $13.48 / $25.96
| Facility | | $10.73 | $13.48 | $25.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.07 / $12.14 / $15.02
| Professional | | $12.07 | $12.14 | $15.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.39 / $11.39 / $22.98
| Facility | | $11.39 | $11.39 | $22.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.07 / $12.07 / $14.80
| Professional | | $12.07 | $12.07 | $14.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.00 / $15.00 / $36.21
| Facility | | $12.00 | $15.00 | $36.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $17.16 / $30.04
| Facility | | $9.55 | $17.16 | $30.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.27 / $12.47 / $14.31
| Professional | | $11.27 | $12.47 | $14.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.37 / $13.28 / $22.32
| Facility | | $10.37 | $13.28 | $22.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.07 / $12.07 / $12.07
| Professional | | $12.07 | $12.07 | $12.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.07 / $12.07 / $12.07
| Professional | | $12.07 | $12.07 | $12.07 |