- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.40 / $25.96 / $71.23
| Facility | | $10.40 | $25.96 | $71.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.26 / $11.70 / $13.76
| Professional | | $8.26 | $11.70 | $13.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.26 / $9.56 / $9.56
| Professional | | $8.26 | $9.56 | $9.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.05 / $45.41 / $82.84
| Facility | | $17.05 | $45.41 | $82.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.29 / $12.25
| Professional | | $5.00 | $7.29 | $12.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.63 / $13.00 / $20.64
| Professional | | $9.63 | $13.00 | $20.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $10.11 / $13.76
| Facility | | $10.11 | $10.11 | $13.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.61 / $30.22 / $70.06
| Facility | | $9.61 | $30.22 | $70.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $10.11 / $22.98
| Professional | | $7.29 | $10.11 | $22.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.00 / $66.06 / $81.00
| Facility | | $58.00 | $66.06 | $81.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.01 / $13.76 / $17.89
| Facility | | $11.01 | $13.76 | $17.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.38 / $13.76 / $17.94
| Professional | | $12.38 | $13.76 | $17.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.01 / $13.76 / $34.61
| Facility | | $11.01 | $13.76 | $34.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $10.58 / $19.72
| Professional | | $7.29 | $10.58 | $19.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $8.08 / $11.70
| Professional | | $5.78 | $8.08 | $11.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $6.80 / $13.76
| Professional | | $5.37 | $6.80 | $13.76 |