- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.67 / $36.78 / $94.72
| Facility | | $16.67 | $36.78 | $94.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.10 / $15.83 / $28.11
| Professional | | $9.10 | $15.83 | $28.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $39.54 / $217.00
| Facility | | $18.05 | $39.54 | $217.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.49 / $15.64 / $29.79
| Professional | | $8.49 | $15.64 | $29.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.90 / $31.17 / $50.27
| Facility | | $11.90 | $31.17 | $50.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.88 / $22.11 / $34.57
| Professional | | $11.88 | $22.11 | $34.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.24 / $16.57 / $18.23
| Professional | | $12.24 | $16.57 | $18.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.19 / $18.05 / $41.00
| Facility | | $17.19 | $18.05 | $41.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.19 / $25.79 / $47.27
| Facility | | $17.19 | $25.79 | $47.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.47 / $15.47 / $15.47
| Professional | | $15.47 | $15.47 | $15.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.77 / $28.36 / $47.27
| Facility | | $19.77 | $28.36 | $47.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.89 / $17.19 / $46.71
| Professional | | $12.89 | $17.19 | $46.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $7.74 / $17.19
| Professional | | $7.22 | $7.74 | $17.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $7.74 / $8.90
| Professional | | $7.74 | $7.74 | $8.90 |