- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.96 / $22.37 / $40.10
| Facility | | $11.96 | $22.37 | $40.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.45 / $7.04 / $14.07
| Professional | | $4.45 | $7.04 | $14.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.07 / $14.07 / $36.58
| Facility | | $14.07 | $14.07 | $36.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.03 / $5.63 / $19.14
| Professional | | $3.03 | $5.63 | $19.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $14.07 / $14.07
| Facility | | $8.44 | $14.07 | $14.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.27 / $14.07 / $14.07
| Professional | | $10.27 | $14.07 | $14.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.83 / $28.26 / $64.39
| Facility | | $9.83 | $28.26 | $64.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $13.20 / $67.81
| Professional | | $4.59 | $13.20 | $67.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $18.29 / $332.00
| Facility | | $3.50 | $18.29 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.63 / $8.30 / $25.75
| Professional | | $5.63 | $8.30 | $25.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $8.32 / $14.75
| Professional | | $5.42 | $8.32 | $14.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $34.04 / $153.13
| Facility | | $13.73 | $34.04 | $153.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.74 / $10.61 / $21.81
| Professional | | $4.74 | $10.61 | $21.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.98 / $7.04 / $20.39
| Professional | | $4.98 | $7.04 | $20.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.18 / $16.18 / $22.06
| Facility | | $16.18 | $16.18 | $22.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $8.32 / $16.91
| Professional | | $5.42 | $8.32 | $16.91 |