- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.64 / $31.33 / $51.02
| Facility | | $16.64 | $31.33 | $51.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.01 / $15.22 / $17.89
| Professional | | $13.01 | $15.22 | $17.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $17.89 / $46.54
| Facility | | $17.89 | $17.89 | $46.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $10.74 / $39.56
| Professional | | $8.36 | $10.74 | $39.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $17.89 / $17.89
| Facility | | $10.74 | $17.89 | $17.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.07 / $17.89 / $17.89
| Professional | | $13.07 | $17.89 | $17.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.51 / $36.03 / $179.70
| Facility | | $12.51 | $36.03 | $179.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.01 / $19.72 / $110.18
| Professional | | $13.01 | $19.72 | $110.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.10 / $24.81 / $332.00
| Facility | | $12.10 | $24.81 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.16 / $10.74 / $32.76
| Professional | | $7.16 | $10.74 | $32.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.22 / $17.89 / $21.51
| Professional | | $15.22 | $17.89 | $21.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.46 / $43.41 / $235.61
| Facility | | $17.46 | $43.41 | $235.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.20 / $17.93 / $36.86
| Professional | | $12.20 | $17.93 | $36.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.52 / $10.74 / $26.85
| Professional | | $7.52 | $10.74 | $26.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.58 / $20.58 / $64.51
| Facility | | $20.58 | $20.58 | $64.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.44 / $19.57 / $23.25
| Professional | | $15.44 | $19.57 | $23.25 |