- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.59 / $66.28 / $149.53
| Facility | | $15.59 | $66.28 | $149.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.99 / $13.15 / $26.70
| Professional | | $7.99 | $13.15 | $26.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.05 / $10.47 / $25.64
| Professional | | $10.05 | $10.47 | $25.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.83 / $30.16 / $100.00
| Facility | | $15.83 | $30.16 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $13.72 / $26.00
| Professional | | $7.44 | $13.72 | $26.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.44 / $30.87 / $44.10
| Facility | | $10.44 | $30.87 | $44.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $20.10 / $30.19
| Professional | | $10.50 | $20.10 | $30.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.73 / $14.55 / $16.00
| Professional | | $10.73 | $14.55 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.08 / $15.83 / $38.95
| Facility | | $15.08 | $15.83 | $38.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.08 / $22.62 / $41.47
| Facility | | $15.08 | $22.62 | $41.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.57 / $13.57 / $13.57
| Professional | | $13.57 | $13.57 | $13.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.34 / $24.88 / $41.47
| Facility | | $17.34 | $24.88 | $41.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.31 / $15.08 / $40.42
| Professional | | $11.31 | $15.08 | $40.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.33 / $6.33 / $15.08
| Professional | | $6.33 | $6.33 | $15.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $6.79 / $7.81
| Professional | | $6.79 | $6.79 | $7.81 |