- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.58 / $36.43 / $166.50
| Facility | | $14.58 | $36.43 | $166.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $12.68 / $25.20
| Professional | | $11.66 | $12.68 | $25.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $10.11 / $22.58
| Professional | | $10.11 | $10.11 | $22.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.87 / $16.03 / $25.78
| Facility | | $12.87 | $16.03 | $25.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $7.19 / $15.73
| Professional | | $7.19 | $7.19 | $15.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.18 / $9.18 / $9.18
| Facility | | $9.18 | $9.18 | $9.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.01 / $17.01 / $17.01
| Professional | | $17.01 | $17.01 | $17.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.00 / $14.57 / $19.67
| Facility | | $8.00 | $14.57 | $19.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.38 / $18.94 / $19.67
| Professional | | $12.38 | $18.94 | $19.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.47 / $15.00 / $32.86
| Facility | | $9.47 | $15.00 | $32.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $11.69 / $21.20
| Professional | | $7.43 | $11.69 | $21.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.47 / $15.25 / $83.15
| Facility | | $9.47 | $15.25 | $83.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $11.72 / $25.45
| Professional | | $7.43 | $11.72 | $25.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.93 / $12.02 / $17.48
| Professional | | $10.93 | $12.02 | $17.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $8.76 / $20.34
| Professional | | $6.12 | $8.76 | $20.34 |