- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.79 / $10.79 / $56.60
| Facility | | $10.79 | $10.79 | $56.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.63 / $10.79 / $56.60
| Professional | | $8.63 | $10.79 | $56.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.19 / $29.80 / $62.25
| Facility | | $8.19 | $29.80 | $62.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.09 / $11.00 / $18.72
| Professional | | $10.09 | $11.00 | $18.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.16 / $28.40 / $42.24
| Facility | | $20.16 | $28.40 | $42.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $42.09 / $73.73
| Professional | | $10.60 | $42.09 | $73.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.39 / $11.23 / $11.23
| Facility | | $10.39 | $11.23 | $11.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $9.55 / $11.57
| Professional | | $9.55 | $9.55 | $11.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.69 / $19.61 / $23.53
| Professional | | $15.69 | $19.61 | $23.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.77 / $13.73 / $30.40
| Professional | | $11.77 | $13.73 | $30.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $86.39 / $93.15
| Facility | | $80.00 | $86.39 | $93.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.49 / $101.49 / $147.08
| Professional | | $101.49 | $101.49 | $147.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.43 / $41.43 / $41.43
| Professional | | $41.43 | $41.43 | $41.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.79 / $17.64 / $20.21
| Facility | | $5.79 | $17.64 | $20.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $11.23 / $18.66
| Professional | | $9.55 | $11.23 | $18.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.02 / $37.02 / $37.02
| Professional | | $37.02 | $37.02 | $37.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $9.78 / $18.62
| Professional | | $8.52 | $9.78 | $18.62 |