- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.08 / $34.74 / $83.09
| Facility | | $15.08 | $34.74 | $83.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.67 / $14.18 / $32.26
| Professional | | $11.67 | $14.18 | $32.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $10.47
| Professional | | $10.47 | $10.47 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.83 / $30.16 / $98.60
| Facility | | $15.83 | $30.16 | $98.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $13.57 / $26.00
| Professional | | $7.44 | $13.57 | $26.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.44 / $30.87 / $44.94
| Facility | | $10.44 | $30.87 | $44.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $19.66 / $30.19
| Professional | | $10.50 | $19.66 | $30.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.73 / $14.55 / $16.00
| Professional | | $10.73 | $14.55 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.08 / $16.59 / $37.93
| Facility | | $15.08 | $16.59 | $37.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.08 / $22.62 / $41.47
| Facility | | $15.08 | $22.62 | $41.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.57 / $13.57 / $13.57
| Professional | | $13.57 | $13.57 | $13.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.34 / $24.88 / $41.47
| Facility | | $17.34 | $24.88 | $41.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.31 / $15.08 / $40.42
| Professional | | $11.31 | $15.08 | $40.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.33 / $6.33 / $15.08
| Professional | | $6.33 | $6.33 | $15.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $6.79 / $7.81
| Professional | | $6.79 | $6.79 | $7.81 |