- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.27 / $28.72 / $51.47
| Facility | | $16.27 | $28.72 | $51.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.71 / $15.35 / $24.30
| Professional | | $12.71 | $15.35 | $24.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $18.05 / $46.96
| Facility | | $18.05 | $18.05 | $46.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.57 / $10.76 / $37.02
| Professional | | $7.57 | $10.76 | $37.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.84 / $18.05 / $18.05
| Facility | | $10.84 | $18.05 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $18.05 / $18.05
| Professional | | $13.18 | $18.05 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.62 / $38.09 / $183.99
| Facility | | $12.62 | $38.09 | $183.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.59 / $20.46 / $134.04
| Professional | | $13.59 | $20.46 | $134.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.10 / $23.48 / $332.00
| Facility | | $11.10 | $23.48 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $10.84 / $33.04
| Professional | | $7.22 | $10.84 | $33.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $17.16 / $19.98
| Professional | | $8.83 | $17.16 | $19.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.61 / $44.27 / $243.46
| Facility | | $17.61 | $44.27 | $243.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.49 / $23.54 / $60.00
| Professional | | $14.49 | $23.54 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.39 / $10.84 / $29.07
| Professional | | $6.39 | $10.84 | $29.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.77 / $20.77 / $36.00
| Facility | | $20.77 | $20.77 | $36.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $18.05 / $21.71
| Professional | | $8.83 | $18.05 | $21.71 |