- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.91 / $39.54 / $181.27
| Facility | | $12.91 | $39.54 | $181.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.28 / $12.25 / $13.73
| Professional | | $7.28 | $12.25 | $13.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.53 / $9.53 / $9.53
| Professional | | $9.53 | $9.53 | $9.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.42 / $27.46 / $83.93
| Facility | | $14.42 | $27.46 | $83.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.78 / $12.91 / $23.65
| Professional | | $6.78 | $12.91 | $23.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.50 / $28.10 / $46.96
| Facility | | $9.50 | $28.10 | $46.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $17.89 / $27.27
| Professional | | $9.47 | $17.89 | $27.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $13.25 / $14.57
| Professional | | $9.77 | $13.25 | $14.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $15.10 / $37.93
| Facility | | $13.73 | $15.10 | $37.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $20.60 / $37.76
| Facility | | $13.73 | $20.60 | $37.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.36 / $12.36 / $12.36
| Professional | | $12.36 | $12.36 | $12.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.79 / $22.65 / $37.76
| Facility | | $15.79 | $22.65 | $37.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.30 / $13.73 / $36.83
| Professional | | $10.30 | $13.73 | $36.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $16.48 / $16.48
| Facility | | $13.73 | $16.48 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $5.77 / $15.38
| Professional | | $5.77 | $5.77 | $15.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $6.18 / $7.11
| Professional | | $6.18 | $6.18 | $7.11 |