- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.82 / $26.88 / $91.27
| Facility | | $11.82 | $26.88 | $91.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.30 / $15.26 / $19.69
| Professional | | $11.30 | $15.26 | $19.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.87 / $29.52 / $94.08
| Facility | | $16.87 | $29.52 | $94.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $15.18 / $32.04
| Professional | | $8.33 | $15.18 | $32.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.50 / $27.21 / $49.37
| Facility | | $8.50 | $27.21 | $49.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.71 / $19.41 / $33.60
| Professional | | $11.71 | $19.41 | $33.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $16.27 / $17.89
| Professional | | $12.00 | $16.27 | $17.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.87 / $18.55 / $37.24
| Facility | | $16.87 | $18.55 | $37.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.18 / $25.31 / $46.39
| Facility | | $15.18 | $25.31 | $46.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.18 / $15.18 / $15.18
| Professional | | $15.18 | $15.18 | $15.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.71 / $27.68 / $46.39
| Facility | | $17.71 | $27.68 | $46.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.65 / $16.87 / $45.81
| Professional | | $12.65 | $16.87 | $45.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $7.09 / $18.89
| Professional | | $7.09 | $7.09 | $18.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $8.74
| Professional | | $7.59 | $7.59 | $8.74 |