- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.62 / $46.29 / $70.47
| Facility | | $12.62 | $46.29 | $70.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.91 / $11.41 / $14.80
| Professional | | $9.91 | $11.41 | $14.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.67 / $8.89 / $8.89
| Professional | | $7.67 | $8.89 | $8.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.43 / $26.13 / $100.00
| Facility | | $13.43 | $26.13 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.32 / $11.51 / $22.10
| Professional | | $6.32 | $11.51 | $22.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.85 / $20.61 / $37.40
| Facility | | $8.85 | $20.61 | $37.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $16.97 / $25.32
| Professional | | $8.94 | $16.97 | $25.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.10 / $12.34 / $13.57
| Professional | | $9.10 | $12.34 | $13.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.79 / $13.43 / $28.23
| Facility | | $12.79 | $13.43 | $28.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.79 / $19.19 / $35.17
| Facility | | $12.79 | $19.19 | $35.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.51 / $11.51 / $11.51
| Professional | | $11.51 | $11.51 | $11.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.71 / $21.10 / $35.17
| Facility | | $14.71 | $21.10 | $35.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.59 / $12.79 / $34.13
| Professional | | $9.59 | $12.79 | $34.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $5.76 / $12.79
| Professional | | $5.37 | $5.76 | $12.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $5.76 / $6.63
| Professional | | $5.76 | $5.76 | $6.63 |