- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $24.11 / $40.40
| Facility | | $12.05 | $24.11 | $40.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.00 / $12.32 / $14.18
| Professional | | $8.00 | $12.32 | $14.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.18 / $14.18 / $36.86
| Facility | | $14.18 | $14.18 | $36.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.45 / $8.14 / $27.29
| Professional | | $5.45 | $8.14 | $27.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $14.18 / $14.18
| Facility | | $8.51 | $14.18 | $14.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.35 / $14.18 / $14.18
| Professional | | $10.35 | $14.18 | $14.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.91 / $28.98 / $115.85
| Facility | | $9.91 | $28.98 | $115.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.41 / $15.71 / $89.98
| Professional | | $10.41 | $15.71 | $89.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $19.85 / $332.00
| Facility | | $10.10 | $19.85 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $8.51 / $25.95
| Professional | | $6.48 | $8.51 | $25.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.28 / $9.28 / $9.28
| Facility | | $9.28 | $9.28 | $9.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $13.23 / $17.04
| Professional | | $9.28 | $13.23 | $17.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.83 / $34.90 / $188.51
| Facility | | $13.83 | $34.90 | $188.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.07 / $15.02 / $29.21
| Professional | | $11.07 | $15.02 | $29.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.96 / $8.14 / $22.26
| Professional | | $5.96 | $8.14 | $22.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.30 / $16.30 / $74.89
| Facility | | $16.30 | $16.30 | $74.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.32 / $14.87 / $18.39
| Professional | | $11.32 | $14.87 | $18.39 |