- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.54 / $29.67 / $85.24
| Facility | | $14.54 | $29.67 | $85.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.97 / $14.54 / $29.67
| Professional | | $10.97 | $14.54 | $29.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.23 / $32.08 / $100.00
| Facility | | $16.23 | $32.08 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $13.92 / $27.57
| Professional | | $7.00 | $13.92 | $27.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.82 / $25.72 / $45.27
| Facility | | $9.82 | $25.72 | $45.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.81 / $18.25 / $28.24
| Professional | | $9.81 | $18.25 | $28.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.01 / $14.92 / $16.41
| Professional | | $11.01 | $14.92 | $16.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.47 / $16.23 / $34.15
| Facility | | $15.47 | $16.23 | $34.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.47 / $23.21 / $42.54
| Facility | | $15.47 | $23.21 | $42.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.92 / $13.92 / $13.92
| Professional | | $13.92 | $13.92 | $13.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.79 / $25.39 / $42.54
| Facility | | $17.79 | $25.39 | $42.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.60 / $15.47 / $41.32
| Professional | | $11.60 | $15.47 | $41.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.47 / $18.55 / $18.55
| Facility | | $15.47 | $18.55 | $18.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $6.50 / $17.32
| Professional | | $6.50 | $6.50 | $17.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.96 / $6.96 / $8.01
| Professional | | $6.96 | $6.96 | $8.01 |