- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.15 / $21.54 / $36.11
| Facility | | $11.15 | $21.54 | $36.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $10.77 / $12.92
| Professional | | $8.71 | $10.77 | $12.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.67 / $12.67 / $32.94
| Facility | | $12.67 | $12.67 | $32.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $7.60 / $27.81
| Professional | | $5.60 | $7.60 | $27.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.60 / $12.67 / $12.67
| Facility | | $7.60 | $12.67 | $12.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.25 / $12.67 / $12.67
| Professional | | $9.25 | $12.67 | $12.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.85 / $26.59 / $126.10
| Facility | | $8.85 | $26.59 | $126.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $14.25 / $82.64
| Professional | | $9.33 | $14.25 | $82.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.10 / $17.73 / $332.00
| Facility | | $9.10 | $17.73 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.07 / $7.60 / $23.19
| Professional | | $5.07 | $7.60 | $23.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.77 / $12.17 / $15.23
| Professional | | $10.77 | $12.17 | $15.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $30.64 / $168.83
| Facility | | $13.73 | $30.64 | $168.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.08 / $16.13 / $30.00
| Professional | | $10.08 | $16.13 | $30.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.32 / $7.60 / $18.61
| Professional | | $5.32 | $7.60 | $18.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.57 / $14.57 / $46.65
| Facility | | $14.57 | $14.57 | $46.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.17 / $13.28 / $16.82
| Professional | | $11.17 | $13.28 | $16.82 |