- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.61 / $20.89 / $35.03
| Facility | | $10.61 | $20.89 | $35.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.28 / $9.94 / $12.29
| Professional | | $8.28 | $9.94 | $12.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.29 / $12.29 / $31.95
| Facility | | $12.29 | $12.29 | $31.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $7.37 / $25.21
| Professional | | $5.33 | $7.37 | $25.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.37 / $12.29 / $12.29
| Facility | | $7.37 | $12.29 | $12.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.97 / $12.29 / $12.29
| Professional | | $8.97 | $12.29 | $12.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.59 / $24.74 / $113.84
| Facility | | $8.59 | $24.74 | $113.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.24 / $12.42 / $73.45
| Professional | | $8.24 | $12.42 | $73.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.10 / $16.61 / $332.00
| Facility | | $8.10 | $16.61 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $7.37 / $22.49
| Professional | | $5.62 | $7.37 | $22.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.29 / $12.29 / $12.29
| Facility | | $12.29 | $12.29 | $12.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.39 / $12.29 / $15.72
| Professional | | $10.39 | $12.29 | $15.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $29.81 / $149.26
| Facility | | $13.73 | $29.81 | $149.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.90 / $15.36 / $25.32
| Professional | | $8.90 | $15.36 | $25.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.16 / $7.37 / $18.05
| Professional | | $5.16 | $7.37 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $14.13 / $51.86
| Facility | | $14.13 | $14.13 | $51.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.09 / $13.18 / $15.85
| Professional | | $10.09 | $13.18 | $15.85 |