- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.97 / $58.51 / $122.25
| Facility | | $15.97 | $58.51 | $122.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.94 / $14.67 / $28.76
| Professional | | $12.94 | $14.67 | $28.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.71 / $11.23 / $11.23
| Professional | | $9.71 | $11.23 | $11.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $33.03 / $100.00
| Facility | | $16.98 | $33.03 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.99 / $14.72 / $27.90
| Professional | | $7.99 | $14.72 | $27.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.21 / $33.14 / $47.34
| Facility | | $11.21 | $33.14 | $47.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.19 / $21.44 / $32.14
| Professional | | $11.19 | $21.44 | $32.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.52 / $15.61 / $17.17
| Professional | | $11.52 | $15.61 | $17.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.18 / $17.80 / $41.00
| Facility | | $16.18 | $17.80 | $41.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.18 / $24.27 / $44.50
| Facility | | $16.18 | $24.27 | $44.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.56 / $14.56 / $14.56
| Professional | | $14.56 | $14.56 | $14.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.61 / $26.70 / $44.50
| Facility | | $18.61 | $26.70 | $44.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.14 / $16.18 / $44.01
| Professional | | $12.14 | $16.18 | $44.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.80 / $6.80 / $16.18
| Professional | | $6.80 | $6.80 | $16.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.28 / $7.28 / $8.38
| Professional | | $7.28 | $7.28 | $8.38 |