- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.14 / $74.00 / $123.20
| Facility | | $16.14 | $74.00 | $123.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $9.72 / $14.74
| Professional | | $9.36 | $9.72 | $14.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.45 / $28.27 / $38.54
| Facility | | $17.45 | $28.27 | $38.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.25 / $26.85 / $47.94
| Professional | | $8.25 | $26.85 | $47.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $66.89 / $70.30
| Professional | | $10.74 | $66.89 | $70.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.09 / $26.03 / $52.76
| Facility | | $13.09 | $26.03 | $52.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $14.63 / $24.15
| Professional | | $10.74 | $14.63 | $24.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $12.14 / $23.71
| Facility | | $10.74 | $12.14 | $23.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $10.74 / $11.81
| Professional | | $9.67 | $10.74 | $11.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.89 / $13.64 / $31.68
| Facility | | $12.89 | $13.64 | $31.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $13.43 / $17.57
| Professional | | $10.74 | $13.43 | $17.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.94 / $33.15 / $44.37
| Facility | | $20.94 | $33.15 | $44.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.97 / $19.05 / $68.92
| Professional | | $10.97 | $19.05 | $68.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $6.14 / $12.89
| Professional | | $4.51 | $6.14 | $12.89 |