- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.29 / $13.47 / $14.55
| Facility | | $13.29 | $13.47 | $14.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.39 / $14.55 / $18.32
| Professional | | $12.39 | $14.55 | $18.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.23 / $26.61 / $56.30
| Facility | | $16.23 | $26.61 | $56.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.91 / $16.91 / $16.91
| Professional | | $16.91 | $16.91 | $16.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.38 / $15.38 / $20.51
| Professional | | $15.38 | $15.38 | $20.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.04 / $24.04 / $24.04
| Facility | | $24.04 | $24.04 | $24.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $8.36 / $8.36
| Professional | | $8.36 | $8.36 | $8.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.64 / $134.43 / $149.28
| Facility | | $41.64 | $134.43 | $149.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $188.00 / $344.54 / $358.32
| Professional | | $188.00 | $344.54 | $358.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.65 / $24.02 / $72.91
| Facility | | $13.65 | $24.02 | $72.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.43 / $19.48 / $20.51
| Professional | | $17.43 | $19.48 | $20.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.10 / $23.01 / $35.89
| Professional | | $20.10 | $23.01 | $35.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.86 / $24.65 / $72.91
| Facility | | $13.86 | $24.65 | $72.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $8.36 / $17.05
| Professional | | $8.36 | $8.36 | $17.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.25 / $9.32 / $14.12
| Professional | | $7.25 | $9.32 | $14.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.51 / $20.51 / $27.69
| Professional | | $20.51 | $20.51 | $27.69 |