- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.94 / $24.59 / $42.47
| Facility | | $12.94 | $24.59 | $42.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.23 / $12.67 / $14.90
| Professional | | $9.23 | $12.67 | $14.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.90 / $14.90 / $38.74
| Facility | | $14.90 | $14.90 | $38.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $9.01 / $33.64
| Professional | | $6.75 | $9.01 | $33.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.94 / $14.90 / $14.90
| Facility | | $8.94 | $14.90 | $14.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.88 / $14.90 / $14.90
| Professional | | $10.88 | $14.90 | $14.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.42 / $30.39 / $152.72
| Facility | | $10.42 | $30.39 | $152.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.06 / $16.80 / $95.49
| Professional | | $11.06 | $16.80 | $95.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.50 / $19.37 / $332.00
| Facility | | $7.50 | $19.37 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.96 / $8.94 / $27.27
| Professional | | $5.96 | $8.94 | $27.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.67 / $14.90 / $19.78
| Professional | | $12.67 | $14.90 | $19.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.54 / $36.61 / $200.23
| Facility | | $14.54 | $36.61 | $200.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.86 / $20.00 / $40.00
| Professional | | $11.86 | $20.00 | $40.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.26 / $8.19 / $21.88
| Professional | | $6.26 | $8.19 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.13 / $17.13 / $54.87
| Facility | | $17.13 | $17.13 | $54.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.13 / $16.66 / $40.82
| Professional | | $13.13 | $16.66 | $40.82 |