- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.96 / $25.71 / $41.87
| Facility | | $13.96 | $25.71 | $41.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.91 / $13.08 / $19.32
| Professional | | $10.91 | $13.08 | $19.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.69 / $14.69 / $38.19
| Facility | | $14.69 | $14.69 | $38.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.01 / $8.88 / $33.15
| Professional | | $7.01 | $8.88 | $33.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.81 / $14.69 / $14.69
| Facility | | $8.81 | $14.69 | $14.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $14.69 / $14.69
| Professional | | $10.72 | $14.69 | $14.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.26 / $29.67 / $149.77
| Facility | | $10.26 | $29.67 | $149.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $16.44 / $93.66
| Professional | | $10.84 | $16.44 | $93.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.10 / $20.57 / $332.00
| Facility | | $11.10 | $20.57 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.88 / $8.81 / $26.88
| Professional | | $5.88 | $8.81 | $26.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.49 / $14.69 / $19.48
| Professional | | $12.49 | $14.69 | $19.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.33 / $35.75 / $196.36
| Facility | | $14.33 | $35.75 | $196.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $18.29 / $30.26
| Professional | | $11.66 | $18.29 | $30.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $8.81 / $22.26
| Professional | | $6.17 | $8.81 | $22.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.89 / $16.89 / $54.09
| Facility | | $16.89 | $16.89 | $54.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.95 / $16.42 / $22.01
| Professional | | $12.95 | $16.42 | $22.01 |