- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.23 / $47.87 / $208.80
| Facility | | $18.23 | $47.87 | $208.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.98 / $12.36 / $34.33
| Professional | | $10.98 | $12.36 | $34.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.24 / $9.53 / $13.73
| Professional | | $8.24 | $9.53 | $13.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.12 / $15.10 / $24.30
| Facility | | $12.12 | $15.10 | $24.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.78 / $6.78 / $14.82
| Professional | | $6.78 | $6.78 | $14.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.65 / $8.65 / $8.65
| Facility | | $8.65 | $8.65 | $8.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.98 / $10.98 / $10.98
| Professional | | $10.98 | $10.98 | $10.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.30 / $14.42 / $18.54
| Facility | | $10.30 | $14.42 | $18.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.92 / $13.73 / $22.61
| Professional | | $8.92 | $13.73 | $22.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.92 / $14.13 / $52.43
| Facility | | $8.92 | $14.13 | $52.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.93 / $11.02 / $19.98
| Professional | | $6.93 | $11.02 | $19.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.98 / $28.90 / $122.40
| Facility | | $8.98 | $28.90 | $122.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.01 / $11.03 / $37.72
| Professional | | $7.01 | $11.03 | $37.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.30 / $11.33 / $16.48
| Professional | | $10.30 | $11.33 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $8.24 / $25.00
| Professional | | $5.77 | $8.24 | $25.00 |