- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.10 / $29.32 / $50.64
| Facility | | $15.10 | $29.32 | $50.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.19 / $13.60 / $20.61
| Professional | | $11.19 | $13.60 | $20.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.77 / $17.77 / $46.20
| Facility | | $17.77 | $17.77 | $46.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $9.48 / $34.94
| Professional | | $7.19 | $9.48 | $34.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.66 / $17.77 / $17.77
| Facility | | $10.66 | $17.77 | $17.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.97 / $17.77 / $17.77
| Professional | | $12.97 | $17.77 | $17.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.41 / $37.36 / $155.75
| Facility | | $12.41 | $37.36 | $155.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.28 / $17.89 / $85.65
| Professional | | $11.28 | $17.89 | $85.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $23.10 / $332.00
| Facility | | $10.10 | $23.10 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.11 / $10.66 / $32.52
| Professional | | $7.11 | $10.66 | $32.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.62 / $16.88 / $21.36
| Professional | | $13.62 | $16.88 | $21.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.32 / $43.41 / $204.21
| Facility | | $17.32 | $43.41 | $204.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.06 / $20.72 / $33.27
| Professional | | $12.06 | $20.72 | $33.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $9.77 / $25.90
| Professional | | $7.46 | $9.77 | $25.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.43 / $20.43 / $55.53
| Facility | | $20.43 | $20.43 | $55.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.62 / $17.89 / $22.66
| Professional | | $13.62 | $17.89 | $22.66 |