- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.46 / $30.64 / $78.90
| Facility | | $13.46 | $30.64 | $78.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.58 / $13.16 / $21.19
| Professional | | $7.58 | $13.16 | $21.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.04 / $32.94 / $100.00
| Facility | | $15.04 | $32.94 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.07 / $12.89 / $25.00
| Professional | | $7.07 | $12.89 | $25.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.91 / $25.97 / $41.90
| Facility | | $9.91 | $25.97 | $41.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.99 / $18.76 / $28.73
| Professional | | $9.99 | $18.76 | $28.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $13.81 / $15.19
| Professional | | $10.19 | $13.81 | $15.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.32 / $15.04 / $37.93
| Facility | | $14.32 | $15.04 | $37.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.32 / $21.48 / $39.38
| Facility | | $14.32 | $21.48 | $39.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.89 / $12.89 / $12.89
| Professional | | $12.89 | $12.89 | $12.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.47 / $23.63 / $39.38
| Facility | | $16.47 | $23.63 | $39.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $14.32 / $38.61
| Professional | | $10.74 | $14.32 | $38.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.01 / $6.01 / $17.18
| Professional | | $6.01 | $6.01 | $17.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $6.44 / $7.42
| Professional | | $6.44 | $6.44 | $7.42 |