- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.45 / $35.43 / $90.64
| Facility | | $16.45 | $35.43 | $90.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.72 / $14.90 / $15.46
| Professional | | $8.72 | $14.90 | $15.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.27 / $33.59 / $100.00
| Facility | | $17.27 | $33.59 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $14.97 / $28.40
| Professional | | $8.11 | $14.97 | $28.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.41 / $29.83 / $48.11
| Facility | | $11.41 | $29.83 | $48.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.36 / $21.88 / $33.11
| Professional | | $11.36 | $21.88 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.71 / $15.87 / $17.45
| Professional | | $11.71 | $15.87 | $17.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.45 / $18.10 / $38.95
| Facility | | $16.45 | $18.10 | $38.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.45 / $24.67 / $45.24
| Facility | | $16.45 | $24.67 | $45.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.81 / $14.81 / $14.81
| Professional | | $14.81 | $14.81 | $14.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.92 / $27.14 / $45.24
| Facility | | $18.92 | $27.14 | $45.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.34 / $16.45 / $44.01
| Professional | | $12.34 | $16.45 | $44.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.45 / $19.73 / $19.73
| Facility | | $16.45 | $19.73 | $19.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $6.91 / $16.45
| Professional | | $6.91 | $6.91 | $16.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $7.40 / $8.52
| Professional | | $7.40 | $7.40 | $8.52 |