- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $33.11 / $104.71
| Facility | | $13.80 | $33.11 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $12.88 / $89.13
| Professional | | $10.96 | $12.88 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $8.91 / $10.00
| Professional | | $8.91 | $8.91 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $32.36 / $46.77
| Facility | | $15.14 | $32.36 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $16.98 / $29.51
| Professional | | $9.12 | $16.98 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $12.88 / $64.57
| Professional | | $9.33 | $12.88 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $14.45 / $32.36
| Facility | | $14.45 | $14.45 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $25.70 / $43.65
| Facility | | $14.45 | $25.70 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $13.18 / $17.38
| Professional | | $13.18 | $13.18 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $21.88 / $39.81
| Facility | | $15.14 | $21.88 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $13.18 / $14.45
| Professional | | $10.96 | $13.18 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $17.38 / $17.38
| Facility | | $14.45 | $17.38 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $8.32 / $16.22
| Professional | | $6.17 | $8.32 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $6.61 / $26.30
| Professional | | $6.61 | $6.61 | $26.30 |