- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.61 / $31.52 / $52.84
| Facility | | $17.61 | $31.52 | $52.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.76 / $15.76 / $18.54
| Professional | | $13.76 | $15.76 | $18.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.54 / $18.54 / $48.20
| Facility | | $18.54 | $18.54 | $48.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.85 / $11.21 / $41.84
| Professional | | $8.85 | $11.21 | $41.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.12 / $18.54 / $18.54
| Facility | | $11.12 | $18.54 | $18.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.53 / $18.54 / $18.54
| Professional | | $13.53 | $18.54 | $18.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.96 / $37.46 / $191.68
| Facility | | $12.96 | $37.46 | $191.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.88 / $20.82 / $121.19
| Professional | | $13.88 | $20.82 | $121.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.10 / $24.10 / $332.00
| Facility | | $11.10 | $24.10 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.42 / $11.12 / $33.93
| Professional | | $7.42 | $11.12 | $33.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.76 / $18.54 / $22.28
| Professional | | $15.76 | $18.54 | $22.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.07 / $45.13 / $251.31
| Facility | | $18.07 | $45.13 | $251.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.83 / $25.49 / $38.19
| Professional | | $14.83 | $25.49 | $38.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.79 / $11.12 / $27.23
| Professional | | $7.79 | $11.12 | $27.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.32 / $21.32 / $68.31
| Facility | | $21.32 | $21.32 | $68.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.34 / $19.48 / $24.61
| Professional | | $16.34 | $19.48 | $24.61 |