- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.45 / $32.84 / $83.58
| Facility | | $15.45 | $32.84 | $83.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.12 / $12.84 / $14.52
| Professional | | $12.12 | $12.84 | $14.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $30.90 / $100.00
| Facility | | $16.22 | $30.90 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.04 / $13.91 / $24.92
| Professional | | $7.04 | $13.91 | $24.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.86 / $25.85 / $45.18
| Facility | | $9.86 | $25.85 | $45.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.99 / $20.54 / $28.24
| Professional | | $9.99 | $20.54 | $28.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.00 / $14.90 / $16.39
| Professional | | $11.00 | $14.90 | $16.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.45 / $16.22 / $34.11
| Facility | | $15.45 | $16.22 | $34.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.45 / $23.17 / $42.49
| Facility | | $15.45 | $23.17 | $42.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.91 / $13.91 / $13.91
| Professional | | $13.91 | $13.91 | $13.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.77 / $25.35 / $42.49
| Facility | | $17.77 | $25.35 | $42.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.59 / $15.45 / $41.32
| Professional | | $11.59 | $15.45 | $41.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $6.95 / $17.30
| Professional | | $6.49 | $6.95 | $17.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.95 / $6.95 / $8.00
| Professional | | $6.95 | $6.95 | $8.00 |