- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.15 / $34.69 / $97.83
| Facility | | $14.15 | $34.69 | $97.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.98 / $13.42 / $14.15
| Professional | | $7.98 | $13.42 | $14.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.80 / $30.10 / $80.00
| Facility | | $15.80 | $30.10 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $13.55 / $25.95
| Professional | | $7.44 | $13.55 | $25.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.42 / $30.81 / $63.15
| Facility | | $10.42 | $30.81 | $63.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $19.64 / $30.19
| Professional | | $10.50 | $19.64 | $30.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.71 / $14.52 / $15.97
| Professional | | $10.71 | $14.52 | $15.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.05 / $15.80 / $33.22
| Facility | | $15.05 | $15.80 | $33.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.05 / $22.58 / $41.39
| Facility | | $15.05 | $22.58 | $41.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.55 / $13.55 / $13.55
| Professional | | $13.55 | $13.55 | $13.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.30 / $24.83 / $41.39
| Facility | | $17.30 | $24.83 | $41.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.29 / $15.05 / $40.42
| Professional | | $11.29 | $15.05 | $40.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $9.44 / $16.86
| Professional | | $9.02 | $9.44 | $16.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.77 / $6.77 / $7.80
| Professional | | $6.77 | $6.77 | $7.80 |