- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.22 / $24.76 / $82.61
| Facility | | $7.22 | $24.76 | $82.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.73 / $7.26 / $9.55
| Professional | | $5.73 | $7.26 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $30.46 / $56.35
| Facility | | $11.48 | $30.46 | $56.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.25 / $7.64
| Professional | | $5.00 | $5.25 | $7.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.69 / $9.00 / $14.33
| Professional | | $6.69 | $9.00 | $14.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.50 / $9.50 / $9.55
| Facility | | $9.50 | $9.50 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.67 / $18.91 / $42.26
| Facility | | $6.67 | $18.91 | $42.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $6.05 / $14.45
| Professional | | $5.05 | $6.05 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.29 / $205.07 / $205.07
| Facility | | $161.29 | $205.07 | $205.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.26 / $9.55 / $12.13
| Facility | | $7.26 | $9.55 | $12.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.17 / $9.55 / $10.10
| Professional | | $9.17 | $9.55 | $10.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $133.29 / $162.03 / $306.00
| Facility | | $133.29 | $162.03 | $306.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.16 / $9.55 / $22.53
| Facility | | $7.16 | $9.55 | $22.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $6.28 / $11.79
| Professional | | $5.05 | $6.28 | $11.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $4.79 / $7.01
| Professional | | $4.01 | $4.79 | $7.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $4.03 / $9.55
| Professional | | $3.72 | $4.03 | $9.55 |