- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.68 / $24.05 / $39.15
| Facility | | $11.68 | $24.05 | $39.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $8.32 / $11.68
| Professional | | $8.32 | $8.32 | $11.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.74 / $13.74 / $35.72
| Facility | | $13.74 | $13.74 | $35.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $6.79 / $20.03
| Professional | | $6.79 | $6.79 | $20.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.74 / $13.74 / $13.74
| Facility | | $13.74 | $13.74 | $13.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $13.74 / $13.74
| Professional | | $10.02 | $13.74 | $13.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.60 / $27.56 / $35.31
| Facility | | $9.60 | $27.56 | $35.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.93 / $19.62 / $66.23
| Professional | | $8.93 | $19.62 | $66.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.74 / $28.85 / $332.00
| Facility | | $13.74 | $28.85 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $8.11 / $25.69
| Professional | | $5.50 | $8.11 | $25.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.56 / $13.05 / $15.43
| Professional | | $9.56 | $13.05 | $15.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.40 / $29.47 / $36.32
| Facility | | $13.40 | $29.47 | $36.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.93 / $11.45 / $28.30
| Professional | | $9.93 | $11.45 | $28.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $8.24 / $20.18
| Professional | | $5.77 | $8.24 | $20.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.74 / $15.80 / $15.80
| Facility | | $13.74 | $15.80 | $15.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.56 / $13.74 / $16.51
| Professional | | $9.56 | $13.74 | $16.51 |